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Achilles tendinitis as a rare extraintestinal manifestation of ulcerative colitis

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Abstract

Patients with inflammatory bowel disease often have extraintestinal manifestations (EIMs) involving almost all organ systems, but little has been reported on Achilles tendinitis. Herein, we present a unique case of Achilles tendinitis, which manifested shortly after initiation of mesalazine therapy for ulcerative colitis. A 26-year-old Japanese woman with bloody diarrhea and abdominal cramps lasting for 7 days was referred to our hospital. The Lichtiger clinical activity index (CAI) score was 9 at the first visit. Based on the clinical symptoms and examination results, she was diagnosed with ulcerative pancolitis in the active phase, and treatment with mesalazine (2.4 g/day) and probiotics was initiated. Her symptoms resolved within 7 days of treatment (CAI 3). However, she then developed bilateral Achilles tendinitis without any apparent cause. The Achilles tendinitis subsided with conservative management within 2 weeks, despite continuation of mesalazine therapy. This case instructively suggests that Achilles tendinitis should be noted as an EIM of ulcerative colitis.

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Authors and Affiliations

  1. Department of Internal Medicine, Asanogawa General Hospital, Kosaka-Naka 83, Kanazawa, 920-8621, Japan

    Takahiro Zenda & Ichiro Araki

  2. Department of Radiology, Asanogawa General Hospital, Kanazawa, Japan

    Otoyuki Nakamiya

  3. Department of Orthopedics, Asanogawa General Hospital, Kanazawa, Japan

    Yuji Tokuumi

  4. Department of Dermatology, Asanogawa General Hospital, Kanazawa, Japan

    Yuka Shimada

  5. Department of Clinical Pathology, Asanogawa General Hospital, Kanazawa, Japan

    Keigo Komai

  6. Department of Pharmacy, Asanogawa General Hospital, Kanazawa, Japan

    Yukie Taniuchi

Authors
  1. Takahiro Zenda
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  2. Ichiro Araki
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  3. Otoyuki Nakamiya
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  4. Yuji Tokuumi
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  5. Yuka Shimada
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  6. Keigo Komai
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  7. Yukie Taniuchi
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Correspondence to Takahiro Zenda.

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Conflict of interest

All authors (Takahiro Zenda, Ichiro Araki, Otoyuki Nakamiya, Yiji Tokuumi, Yuka Shimada, Keigo Komai, and Yukie Taniuchi) declare that they have no financial conflict of interest.

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All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Zenda, T., Araki, I., Nakamiya, O. et al. Achilles tendinitis as a rare extraintestinal manifestation of ulcerative colitis. Clin J Gastroenterol 9, 129–133 (2016). https://doi.org/10.1007/s12328-016-0645-8

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  • DOI: https://doi.org/10.1007/s12328-016-0645-8

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