Occurrence of Ulcerative Colitis in a Patient With Adult-Onset Still's Disease: Coincidence or Correlated

Choi, Yun Jung; Yoo, Wan‐Hee

doi:10.5606/archrheumatol.2017.6182

Cited by 4 publications

(7 citation statements)

References 7 publications

(7 reference statements)

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“…Only one case of Crohn's disease (CD) with AOSD has been reported. 4 Multiple factors that are likely relevant to the coexistence of AOSD and inflammatory bowel disease include intestinal microbiota, mucosal barrier, genetic susceptibility, and environmental factors; however, no definitive etiology has yet been clarified. 22 Although the detailed mechanism remains unknown, several studies supporting an association between the arthritis-related AOSD and inflammatory bowel disease (IBD) have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…22 Although the detailed mechanism remains unknown, several studies supporting an association between the arthritis-related AOSD and inflammatory bowel disease (IBD) have been reported. 4 Moreover, it has been reported that 81% of patients with juvenile idiopathic arthritis, a disease related to AOSD, had CD lesions, as revealed by ileocolonoscopy. 23 In addition, a report from a Finnish group showed a significantly higher incidence of arthritis in pediatric-onset IBD patients (5.4% vs. 0.2%) than in controls.…”

Section: Discussionmentioning

confidence: 99%

“…Adult‐onset Still's disease is a rare comorbidity in patients with UC. Only one case of Crohn's disease (CD) with AOSD has been reported 4 . Multiple factors that are likely relevant to the coexistence of AOSD and inflammatory bowel disease include intestinal microbiota, mucosal barrier, genetic susceptibility, and environmental factors; however, no definitive etiology has yet been clarified 22 .…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the coexistence of AOSD with ulcerative colitis (UC), an inflammatory intestinal disease involving the colon, is extremely rare. Only one case of AOSD with UC has been reported to date 4 . Herein, we report a case of a patient with stable UC who developed AOSD after receiving the first dose of a SARS‐CoV‐2 vaccine and was treated using nonsteroidal anti‐inflammatory drugs (NSAIDs) alone.…”

Section: Introductionmentioning

confidence: 99%

“…Only one case of AOSD with UC has been reported to date. 4 Herein, we report a case of a patient with stable UC who developed AOSD after receiving the first dose of a SARS-CoV-2 vaccine and was treated using nonsteroidal anti-inflammatory drugs (NSAIDs) alone.…”

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confidence: 99%

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Occurrence of adult‐onset Still's disease after coronavirus disease 2019 BNT162B2 vaccination in a patient with ulcerative colitis: A case report and review of literature

Kobayashi,

Hashimoto,

Kusanagi

et al. 2023

Clinical Case Reports

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Key Clinical MessageWe report an extremely rare occurrence of adult‐onset Still's disease (AOSD) in a patient with ulcerative colitis. The possibility of autoinflammatory conditions such as AOSD should be considered when evaluating or treating symptoms suspected as side effects of the severe acute respiratory syndrome coronavirus 2 vaccination, regardless of the associated comorbidities.SummaryA woman in her 50s with a history of stable ulcerative colitis (UC) for 20 years, managed using salazosulfapyridine, presented with migratory rashes, spiking fever, edema, and joint pain that started 1 week after receiving the BNT162B2 mRNA vaccine against severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2). Laboratory tests revealed extremely high serum ferritin levels. The patient was diagnosed with adult‐onset Still's disease (AOSD) based on the relevant classification criteria after ruling out other diseases. Detection of high levels of interleukin‐18, an inflammatory cytokine related to AOSD, supported the diagnosis. Nonsteroidal anti‐inflammatory drug monotherapy alone resulted in significant improvements in both the abovementioned symptoms and the elevated inflammatory marker levels. AOSD in a patient with UC is extremely rare. Only one case of AOSD with UC was reported before the coronavirus disease 2019 era. This case indicates that SARS‐CoV‐2 vaccination can trigger a hyperinflammatory response, classified as AOSD, in a patient with UC, which is extremely rare.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Occurrence of adult‐onset Still's disease after coronavirus disease 2019 BNT162B2 vaccination in a patient with ulcerative colitis: A case report and review of literature

Kobayashi,

Hashimoto,

Kusanagi

et al. 2023

Clinical Case Reports

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Adult-onset Still’s disease as a cutaneous marker of systemic disease

Damevska

França

Nikolovska

et al. 2019

Clinics in Dermatology

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A Case of Adult-onset Still's Disease (AOSD) with Gastrointestinal Lesions

Harada,

Hirata,

Kawamura

et al. 2024

Intern. Med.

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A 51-year-old woman with fever was admitted to our hospital. A computed tomography (CT) scan showed thickened colonic walls. Colonoscopy revealed erosion in the ileum and colon. Adult-onset Still's disease (AOSD) was diagnosed due to a subsequent sore throat and skin rash. Following AOSD treatment, methylprednisolone pulse therapy, followed by prednisolone and cyclosporine, was initiated. Despite achieving a temporary improvement, relapse occurred with fever, abdominal pain, with worsening CT and endoscopic findings. The reappearance of a skin rash confirmed an exacerbation of AOSD. Tocilizumab treatment alleviated the symptoms and improved the endoscopic findings. Considering their correlation with the symptoms and endoscopic findings, the observed gastrointestinal lesions may be linked to AOSD.

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Occurrence of Ulcerative Colitis in a Patient With Adult-Onset Still's Disease: Coincidence or Correlated

Cited by 4 publications

References 7 publications

Occurrence of adult‐onset Still's disease after coronavirus disease 2019 BNT162B2 vaccination in a patient with ulcerative colitis: A case report and review of literature

Occurrence of adult‐onset Still's disease after coronavirus disease 2019 BNT162B2 vaccination in a patient with ulcerative colitis: A case report and review of literature

Adult-onset Still’s disease as a cutaneous marker of systemic disease

A Case of Adult-onset Still's Disease (AOSD) with Gastrointestinal Lesions

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