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- Title
Improvement of pneumatosis cystoides intestinalis after steroid tapering in a patient with bronchial asthma: a case report.
- Authors
Akiko Ezuka; Kenichi Kawana; Hajime Nagase; Hirokazu Takahashi; Atsushi Nakajima
- Abstract
Introduction: We report the case of a patient who was diagnosed as having pneumatosis cystoides intestinalis while being treated with prednisolone for bronchial asthma. Even before we had experienced a case of this, the relationship between pneumatosis cystoides intestinalis and prednisolone was unclear. In this case, pneumatosis cystoides intestinalis was improved with the reduction of prednisolone, and therefore we thought a direct relationship between pneumatosis cystoides intestinalis and prednisolone might become clear, such as whether it is dose dependent. Case presentation: A 62-year-old Japanese woman had been treated for bronchial asthma for approximately 40 years. She presented with abdominal distension, and a radiographic examination showed intraperitoneal free gas and intramural gas, suggestive of pneumatosis cystoides intestinalis. However, when her prednisolone dose was decreased from 30mg to 0mg for approximately a year because of improvement in her asthma symptoms, her abdominal symptom resolved, and the frequency of her bowel movements returned to normal. Conclusion: Amelioration of pneumatosis cystoides intestinalis was observed with tapering of the prednisolone, suggesting that prednisolone may have been involved in the pathogenesis of pneumatosis cystoides intestinalis in this patient.
- Subjects
CYSTOIDEA; PREDNISOLONE; CARCINOGENESIS; INTRAPERITONEAL injections; RADIOGRAPHY
- Publication
Journal of Medical Case Reports, 2013, Vol 7, Issue 1, p1
- ISSN
1752-1947
- Publication type
Case Study
- DOI
10.1186/1752-1947-7-163