Ulcerative colitis accompanied by aseptic abscesses syndrome and small-vessel vasculitis

Abstract

Introduction. Cutaneous small-vessel vasculitis and aseptic abscesses syndrome are among the rarest extraintestinal manifestations of bowel inflammatory diseases. Materials and methods. The study describes the case of a 19-year-old female admitted to the Department of Dermatology due to cutaneous small-vessel vasculitis. In order to reach the final diagnosis, a wide spectrum of laboratory and diagnostic tests were performed. Three subsequent abdominal CT scans confirmed the presence of hypodense foci, initially in the spleen, and subsequently in the liver. The aseptic abscesses syndrome was diagnosed based on the radiological picture and the exclusion of infectious causes of the above-described foci. Objective. Presentation of a case of concomitance of cutaneous small vessel vasculitis and septic absecess, accompanied by inflammatory bowel disease. Results. During the hospitalisation, the patient developed symptoms of paralytic ileus. The results of colonoscopy and biopsy of intestinal mucous membrane were typical of ulcerative colitis. Conclusions. To the best of the authors' knowledge, this is the first presentation of ulcerative colitis accompanied by aseptic abscesses syndrome concomitant with cutaneous small vessel vasculitis.