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Recurrent myocarditis in a patient with active ulcerative colitis: a case report and review of the literature

Inflammatory bowel diseases such as ulcerative colitis (UC) may be complicated by several extraintestinal manifestations. These involve joints, skin, eyes and less commonly lungs and heart. Myocarditis may result from the toxic effect of drugs (ie, mesalazine) commonly used for the treatment of UC o...

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Detalles Bibliográficos
Autores principales: Caio, Giacomo, Lungaro, Lisa, Caputo, Fabio, Muccinelli, Maria, Marcello, Maria Caterina, Zoli, Eleonora, Volta, Umberto, De Giorgio, Roberto, Zoli, Giorgio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7970288/
https://www.ncbi.nlm.nih.gov/pubmed/33722804
http://dx.doi.org/10.1136/bmjgast-2020-000587
Descripción
Sumario:Inflammatory bowel diseases such as ulcerative colitis (UC) may be complicated by several extraintestinal manifestations. These involve joints, skin, eyes and less commonly lungs and heart. Myocarditis may result from the toxic effect of drugs (ie, mesalazine) commonly used for the treatment of UC or due to infections (eg, Coxsackieviruses, enteroviruses, adenovirus). Here, we report a case of a 26-year old man affected by UC and complicated by two episodes of myocarditis. Both episodes occurred during two severe exacerbations of UC. However, in both cases the aetiology of myocarditis remains uncertain being ascribable to extraintestinal manifestation, drug toxicity or both.