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Bowel-associated dermatosis − arthritis syndrome in a patient with ulcerative colitis: an extraintestinal manifestation of inflammatory bowel disease

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Abstract

Bowel-associated dermatosis − arthritis syndrome (BADAS) is a neutrophilic dermatosis characterized by cutaneous lesions that begin as erythematous macules and progress to vesiculopustular eruptions. It has been described in patients with inflammatory bowel disease as well as those who have undergone various intestinal surgeries. Pathologically, the lesions show features of vasculitis without fibrinoid necrosis. In a patient with diagnosed inflammatory bowel disease, these neutrophilic dermatoses should be viewed as external signals of bowel inflammation. Management requires long-term treatment of the underlying disease. We report a case of BADAS in a patient with ulcerative colitis in which the skin lesions were associated with increased colonic inflammation.

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Conflict of Interest

The authors declare that they have no conflict of interest.

Human/Animal Rights

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008(5).

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Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. Weill Cornell Medical College, New York, NY, USA

    Ersilia M. DeFilippis

  2. Department of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY, USA

    Cynthia Magro

  3. Department of Dermatology, Weill Cornell Medical College, New York, NY, USA

    Joseph L. Jorizzo

Authors
  1. Ersilia M. DeFilippis
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  2. Cynthia Magro
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  3. Joseph L. Jorizzo
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Correspondence to Ersilia M. DeFilippis.

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DeFilippis, E.M., Magro, C. & Jorizzo, J.L. Bowel-associated dermatosis − arthritis syndrome in a patient with ulcerative colitis: an extraintestinal manifestation of inflammatory bowel disease . Clin J Gastroenterol 7, 410–413 (2014). https://doi.org/10.1007/s12328-014-0529-8

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  • DOI: https://doi.org/10.1007/s12328-014-0529-8

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