"SPECIFIC" DISEASES SIMULATING "NONSPECIFIC" ULCERATIVE COLITIS (LYMPHOPATHIA VENEREUM, ACUTE VASCULITIS, SCLERODERMA AND SECONDARY AMYLOIDOSIS
Authors: M B GOLDGRABER, J B KIRSNER
Journal: Annals of Internal Medicine (1957)

Article1 November 1957"SPECIFIC" DISEASES SIMULATING "NONSPECIFIC" ULCERATIVE COLITIS (LYMPHOPATHIA VENEREUM, ACUTE VASCULITIS, SCLERODERMA AND SECONDARY AMYLOIDOSISMOSHE B. GOLDGRABER, M.D., JOSEPH B. KIRSNER, M.D., F.A.C.P.MOSHE B. GOLDGRABER, M.D.Search for more papers by this author, JOSEPH B. KIRSNER, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-47-5-939 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptNonspecific ulcerative colitis is an acute and chronic disease of the colon, of obscure etiology and pathogenesis.1The diagnosis is established on the basis of clinical symptoms, typical proctoscopic and roentgenologic features, and the absence of specific pathogenic bacteria or parasites in the feces. Despite the almost characteristic features, the disease may be simulated clinically by disorders of the colon of more "specific" genesis. The study of these special problems is of unique interest, because clarification of their particular pathogenesis may shed light on the development of the "idiopathic" variety of ulcerative colitis. Four examples of "specific" diseases simulating ulcerative...Bibliography1. KirsnerPalmer JBWL: Ulcerative colitis. Considerations of its etiology and treatment, J. A. M. A. 155: 341, 1954. CrossrefMedlineGoogle Scholar2. PalmerKirsnerRodaniche WLJBEC: Studies on lymphogranuloma venereum infection of the rectum, J. A. M. A. 118: 517, 1942. CrossrefGoogle Scholar3. RodanicheKirsnerPalmer ECJBWL: Lymphogranuloma venereum in relation to chronic ulcerative colitis, J. A. M. A. 115: 515, 1940. CrossrefGoogle Scholar4. RodanicheKirsnerPalmer ECJBWL: Lymphogranuloma venereum and regional enteritis, Gastroenterology 1: 687, 1943. Google Scholar5. Bargen JA: The modern management of colitis, 1943, Charles C Thomas, Springfield, pp. 192-202. Google Scholar6. Hale-White W: On simple ulcerative colitis and other rare intestinal diseases, Guy's Hosp. Rep. 45: 131, 1888. Google Scholar7. Martin ME: Arterial thrombosis associated with chronic ulcerative colitis, Am. J. Digest. Dis. 12: 85, 1945. CrossrefGoogle Scholar8. WoldBaggenstoss LEAH: Gastro-intestinal lesions of periarteritis nodosa, Proc. Staff Meet., Mayo Clin. 24: 28, 1949. MedlineGoogle Scholar9. JohnsonBaggenstoss CCAH: Mesenteric vascular occlusion. II. Study of 60 cases of occlusion of arteries and of 12 cases of occlusion of both arteries and veins, Proc. Staff Meet., Mayo Clin. 24: 649, 1949. MedlineGoogle Scholar10. WarrenSommers SSC: Pathogenesis of ulcerative colitis, Am. J. Path. 25: 657, 1949. MedlineGoogle Scholar11. Karsner HT: Acute inflammations of arteries, 1947, Charles C Thomas, Springfield, p. 30. Google Scholar12. JernstromStasney PJ: Acute ulcerative enteritis due to polyarteritis, J. A. M. A. 148: 544, 1952. CrossrefMedlineGoogle Scholar13. Arkin A: A clinical and pathological study of periarteritis nodosa, Am. J. Path. 6: 401, 1930. MedlineGoogle Scholar14. MacMahonDerowPatterson HEHAJF: A variant of periarteritis nodosa, Bull. New England M. Center 15: 161, 1953. MedlineGoogle Scholar15. RelmanMacMahonPatterson ASHEJF: Vasculitis involving the gastrointestinal tract, lungs and kidneys, Bull. Tufts New England M. Center 2: 48, 1956. MedlineGoogle Scholar16. LumbProtheroeRamsay GRHGS: Ulcerative colitis with dilatation of the colon, Brit. J. Surg. 93: 182, 1955. CrossrefGoogle Scholar17. Thomas L: The generalized Shwartzman reaction on rabbits injected with group A hemolytic streptococci, in Rheumatic fever, a symposium held at the University of Minnesota in 1951, 1952, University of Minnesota Press, Minneapolis, pp. 232-246. Google Scholar18. HoppsWissler HCRW: The experimental production of generalized arteritis and periarteritis (periarteritis nodosa), J. Lab. and Clin. Med. 31: 939, 1946. MedlineGoogle Scholar19. RothmanMalkinson SFD: Changes in the gastrointestinal tract in scleroderma and other diffuse connective tissue diseases, presented at the Second Annual Convention of the American College of Gastroenterology at the Shoreland Hotel, Chicago, October 27-29, 1955. Google Scholar20. PiperHelvig WNEB: Progressive systemic scleroderma, Arch. Dermat. 72: 535, 1955. CrossrefGoogle Scholar21. Ehrmann S: Ueber die Beziehung der Sklerodermie zu den autotoxischen Erythemen, Wien. med. Wchnschr. 53: 1097, 1156, 1903. Google Scholar22. Rake G: On the pathology and pathogenesis of scleroderma, Bull. Johns Hopkins Hosp. 48: 212, 1931. Google Scholar23. WeissSteadWarrenBailey SEAJVOT: Scleroderma heart disease, with a consideration of other visceral manifestations of scleroderma, Arch. Int. Med. 71: 749, 1943. CrossrefGoogle Scholar24. LindsayTempletonRothman JRFES: Lesions of the esophagus in generalized progressive scleroderma, J. A. M. A. 123: 745, 1943. CrossrefGoogle Scholar25. HaleSchatzki CHR: The roentgenological appearance of the gastrointestinal tract in scleroderma, Am. J. Roentgenol. 51: 407, 1944. Google Scholar26. Goetz RH: The pathology of progressive systemic sclerosis (generalized scleroderma), Clin. Proc. 4: 337, 1945. Google Scholar27. OlsenO'LearyKirklin AMPABR: Esophageal lesions associated with acrosclerosis and scleroderma, Arch. Int. Med. 76: 189, 1945. CrossrefGoogle Scholar28. PughKvaleMargulies DGWFH: Scleroderma with involvement of the viscera: report of a case, Proc. Staff Meet., Mayo Clin. 20: 410, 1945. Google Scholar29. Bevans M: Pathology of scleroderma with special reference to the changes in the gastrointestinal tract, Am. J. Path. 21: 25, 1945. MedlineGoogle Scholar30. RafskyHerzig HAW: Scleroderma with esophageal symptoms: report of 2 cases, Gastroenterology 7: 35, 1946. Google Scholar31. LushbaughRubinRothman CCLS: Scleroderma of the intestinal tract: first report of a fatal case, Gastroenterology 11: 382, 1948. MedlineGoogle Scholar32. Kaisch AM: Clinical and roentgenological aspects of esophageal lesions in scleroderma, Am. J. Digest. Dis. 16: 405, 1949. CrossrefMedlineGoogle Scholar33. SchwartzSkisness GSOK: Generalized progressive scleroderma, Am. J. Roentgenol. 62: 359, 1949. Google Scholar34. AronsonWallterstein SML: Protean nature of scleroderma with a note on pulmonary changes, New York State J. Med. 50: 2723, 1950. MedlineGoogle Scholar35. BoydPatrickReeves JASFRJ: Roentgen changes observed in generalized scleroderma. Report of 63 cases, Arch. Int. Med. 94: 248, 1954. CrossrefGoogle Scholar36. AbramsCarnesEaton HLWHJ: Alimentary tract in disseminated scleroderma with emphasis on small bowel, Arch. Int. Med. 94: 61, 1954. CrossrefGoogle Scholar37. LeinwandDuryeeRichter FWAMN: Scleroderma (based on a study of over 150 cases), Ann. Int. Med. 41: 1003, 1954. LinkGoogle Scholar38. PapelTreip WCJ: Viscero cutaneous collagenosis. A study of the intermediate forms of dermatomyositis, scleroderma and disseminated lupus erythematosus, J. Clin. Path. 8: 1, 1955. CrossrefMedlineGoogle Scholar39. Marshall F: Collagen disease of the small bowel, New England J. Med. 255: 978, 1956. CrossrefMedlineGoogle Scholar40. Kemp-Harper RA: The radiological manifestations of diffuse systemic scleroderma, Proc. Roy. Soc. Med. 46: 512, 1953. MedlineGoogle Scholar41. Cullinan ER: Scleroderma, Proc. Roy. Soc. Med. 46: 507, 1953. CrossrefMedlineGoogle Scholar42. JacksonParker HF: Hodgkin's disease and allied disorders, 1947, Oxford University Press, New York. Google Scholar43. DagradiReingoldBorreson AEJMRE: Primary Hodgkin's disease of the stomach. A case report with a note on pathogenesis, Gastroenterology 30: 824, 1956. CrossrefMedlineGoogle Scholar44. PortmannDunneHazard UVEFJB: Manifestations of Hodgkin's disease of the gastrointestinal tract, Am. J. Roentgenol. 72: 772, 1954. Google Scholar45. Randall OS: Multiple myeloma complicated by intestinal obstruction due to amyloid infiltration of the small intestine, Am. J. Cancer 19: 838, 1933. Google Scholar46. Dahlin DC: Amyloidosis, Proc. Staff Meet., Mayo Clin. 24: 637, 1949. MedlineGoogle Scholar47. Virchow R: Die Cellularpathologie in ihrer Begründung auf physiologische und pathologische Gewebelehre, 1859, August Hirschwald, Berlin, pp. 334, 349. Google Scholar48. HenkeLubarsch FO: Handbuch der speziellen pathologischen Anatomie und Histologie, Bd. 4, Heft 3, 1929, Julius Springer, Berlin, p. 55. Google Scholar49. WangRobbins CCLL: Amyloid disease. Its roentgen manifestations, Radiology 66: 489, 1956. CrossrefMedlineGoogle Scholar50. KorelitzSpindell BJLN: Gastrointestinal amyloidosis. Report of case and review of clinical and radiological aspects, J. Mt. Sinai Hosp. 23: 683, 1956. MedlineGoogle Scholar51. DahlinDockerty DCMB: Amyloid and myeloma, Am. J. Path. 26: 581, 1950. MedlineGoogle Scholar52. Humphreys EM: Personal communication. Google Scholar53. Albert Merritt Billings Hospital Cases #528319 and #643480. Google Scholar54. KoganJanovitz EHD: Intestinal tuberculosis: difficulties in diagnosis in absence of florid pulmonary involvement, J. Mt. Sinai Hosp. 23: 597, 1956. MedlineGoogle Scholar55. FelsenGarenberg JH: Chronic dysentery, distal ileitis and ulcerative colitis. A follow-up of the Jersey City epidemic of bacillary dysentery, Am. J. M. Sc. 192: 553, 1936. CrossrefGoogle Scholar56. Craig CF: Etiology, diagnosis and treatment of amebiasis, 1944, the Williams and Wilkins Company, Baltimore, p. 99. Google Scholar57. Buie LA: Chronic ulcerative colitis, J. A. M. A. 87: 1271, 1926. CrossrefGoogle Scholar58. BuieBargen LAJA: Chronic ulcerative colitis: a disease of systemic origin, J. A. M. A. 101: 1463, 1933. Google Scholar59. Kirshen M: Ulcerative colitis: an evaluation of the etiology, symptomatology and therapy, Am. J. Digest. Dis. 14: 384, 1949. CrossrefGoogle Scholar60. GinsbergIvy RSAC: The etiology of ulcerative colitis: an analytical review of the literature, Gastroenterology 7: 67, 1946. MedlineGoogle Scholar61. HendersonPrincertonMoore RGHLT: Histoplasma capsulatum as a cause of chronic ulcerative colitis, J. A. M. A. 118: 885, 1942. CrossrefGoogle Scholar62. KlotzPalmerKirsner APWLJB: Aureomycin proctitis and colitis: a report of five cases, Gastroenterology 25: 44, 1953. CrossrefMedlineGoogle Scholar63. MooltenClarkGlasserKatzMiller JEEBFEBS: Blood stream invasion by Newcastle disease virus associated with hemolytic anemia and encephalopathy, Am. J. Med. 14: 294, 1953. CrossrefMedlineGoogle Scholar64. Portis SA: Idiopathic ulcerative colitis, J. A. M. A. 139: 208, 1949. CrossrefMedlineGoogle Scholar65. Kirsner JB: Ulcerative colitis: observations on its etiology, course and treatment, Postgrad. Med. 22: 132, 1957. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication April 10, 1957.From the Department of Medicine, The University of Chicago.Requests for reprints should be addressed to Moshe B. Goldgraber, M.D., Department of Medicine, The University of Chicago, Chicago 37, Illinois. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byColonic Manifestations and Complications Are Relatively Under-Reported in Systemic Sclerosis: A Systematic ReviewUlcerative ColitisRenal and Urologic Complications of Inflammatory Bowel DiseaseInflammatory bowel disease part II: Clinical and therapeutic aspectsEndoscopy in Inflammatory Bowel Disease: Indications and Differential DiagnosisInfectious colitis endoscopically simulating inflammatory bowel disease: a prospective evaluationAmyloidose des DünndarmsAmyloid colitisAmyloidosis and inflammatory bowel diseaseA fatal case of Reiter's disease complicated by amyloidosisKLEBSIELLA SEPTICAEMIA, DISSEMINATED INTRAVASCULAR COAGULATION AND ULCERATIVE COLITIS IN AN AUSTRALIAN ABORIGINALRectal BiopsyHautveränderungen bei inneren ErkrankungenColitis ulcerosaDiarrhea and ConstipationHypersensitivity and the Gastrointestinal TractPrimary systemic amyloidosis simulating acute idiopathic ulcerative colitisUlcerative colitis disguised as multiple myelomaCase 48-1963Systemic Amyloidosis and Ulcerative ColitisReferencesImmunologic Considerations in Ulcerative ColitisNonspecific Ulcerative ColitisDigestive System Manifestations of the Collagen DiseasesUlcerative ColitisRHEUMATISM AND ARTHRITIS: REVIEW OF AMERICAN AND ENGLISH LITERATURE OF RECENT YEARS (THIRTEENTH RHEUMATISM REVIEW)*CHARLEY J. SMYTH, M.D., F.A.C.P., ROGER L. BLACK, M.D., FELIX E. DEMARTINI, M.D., IVAN F. DUFF, M.D., F.A.C.P., EPHRAIM P. ENGLEMAN, M.D., F.A.C.P., DONALD C. GRAHAM, M.D., F.R.C.P.(C), MAX M. MONTGOMERY, M.D., F.A.C.P., HOWARD F. POLLEY, M.D., F.A.C.P., EDWARD F. ROSENBERG, M.D., F.A.C.P., CARLOS F. SACASA, M.D., F.A.C.P., OTTO STEINBROCKER, M.D., HANS WAINE, M.D., GEORGE M. WILSON JR., M.D.Hypersensitivity, Autoimmunity, and the Digestive TractThe Histopathology of Chronic Ulcerative Colitis and its Pathogenic ImplicationsSerum Proteins in Ulcerative ColitisScleroderma of the Small IntestineMucocutaneous-ocular syndrome with intestinal involvementThe Management of Ulcerative Colitis 1 November 1957Volume 47, Issue 5Page: 939-955KeywordsAmyloidosisBacteriaBacterial pathogensColitisColonEtiologyPathogenesisSclerodermaUlcerative colitisVasculitis Issue Published: 1 November 1957 PDF downloadLoading ...