PMC10189249_01
(a, b) Colonoscopy revealed loss or reduction of vascular permeability throughout the colon mucosa, with coarse mucosa, erythema, and adhesions of purulent secretions. (c, d) After treatment with colchicine, the symptoms improved, and endoscopy revealed multiple villous lesions in the small intestine and improvement in the erythema and rough mucosa previously observed throughout the colon.
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C-reactive protein level of 24.78 mg/dl, and elevated amyloid protein (1568.5 mug/ml). Colonoscopy revealed loss or reduction of vascular permeability throughout the mucosa of the colon, with coarse mucosa, erythema, and adhesions of purulent secretions (Figure 1a,b). After treatment with colchicine, the symptoms improved, and endoscopy showed multiple villous lesions in the small intestine and improvement in the erythema and rough mucosa previously observed throughout the colon (Figure 1c,d).
Contrast-enhanced computed tomography revealed thickening of the colon and rectal wall and no small bowel lesions or vascular abnormalities.
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At the time of presentation, his symptoms did not improve even with the administration of 40 mg/day of PSL, and computed tomography revealed thickening of the colon and no abnormality in the small intestine (Figure 2).