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A Case of Ulcerative Colitis with Growth Disturbance

Journal of the Korean Pediatric Society 1999;42(2):289-295.
Published online February 15, 1999.
A Case of Ulcerative Colitis with Growth Disturbance
Ki Hyun Jeon1, Dong Hyun Choi1, Eun Yung Seol1, Kyung Eun Oh1, Mun Ki Cho1, Chul Son1, Jong Soon Kim2
1Department of Pediatrics, Saint Columban’s Hospital, Mokpo, Korea
2Department of Anatomical Pathology, Saint Columban’s Hospital, Mokpo, Korea
성장장애를 유발한 궤양성 대장염 1례
전기현1, 최동현1, 설은영1, 오경은1, 조문기1, 손철1, 김종순2
1성골롬반병원 소아과
2성골롬반병원 해부병리과
Abstract
Ulcerative colitis is a chronic relapsing inflammatory disease of the colonic and rectal mucosa, which affects children as well as adults. Inflammation caused by ulcerative colitis is limited to the colon and rectum, to the mucosa and submucosa, and is involved continuously, with varying degrees of ulceration, hemorrhage, edema, and regenerating epithelium. Ulcerative colitis most commonly presents with the onset of diarrhea, later associated with hematochezia, but usually without systemic signs of fever, weight loss, or hypoalbuminemia. Approximately 30% of cases have moderate signs of systemic illness. Although less commonly seen than in Crohn’s disease, the first sign of ulcerative colitis may be growth failure characterized by decreased linear growth velocity. We experienced a case of ulcerative colitis with growth disturbance and treated with sulfasalazine. During follow up for a year, the symptoms subsided, and the height and weight increased.
Key Words: Ulcerative colitis, Growth disturbance


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