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British Journal of Radiology (2005) 78, 762-766
© 2005 British Institute of Radiology
doi: 10.1259/bjr/95651807
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Case report

Fatal acute exacerbation of usual interstitial pneumonia in ulcerative colitis

K Marten, MD1, F Fend, MD2, H Hautmann, MD3, M Kremer, MD2, E J Rummeny, MD1 and C Engelke, MD1

Departments of 1 Radiology, 2 Pathology and 3 Pneumology, Klinikum rechts der Isar, Technical University Munich, Ismaningerstr. 22, 81675 München, Germany

Pulmonary involvement in ulcerative colitis may manifest as a variety of disorders. Ulcerative colitis-related interstitial lung disease is exceedingly rare and has been reported to be steroid-responsive. We describe the first case of a patient with acute exacerbation of ulcerative colitis-induced usual interstitial pneumonia, who did not respond to corticosteroid therapy and died 12 weeks after the onset of pulmonary symptoms. Early recognition of pulmonary disease in patients with ulcerative colitis is necessary to initiate further diagnostic work-up and may aid treatment decisions.






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