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Enzyme
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Query: UMLS:C0009324 (
ulcerative colitis
)
17,300
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
In 45 patients with
inflammatory bowel disease
(9 with Crohn's disease and 36 with
ulcerative colitis
) and associated liver disorders, increased liver copper content (above 100 microgram/g dry weight) was found in 14 (31%). These patients represented about 50% of the patients with either biliary cirrhosis or pericholangitis. Four of the patients had levels regarded as compatible with hepatolenticular degeneration (greater than 250 microgram/g dry weight). In patients with chronic active hepatitis or non-specific changes in liver tissue, normal levels were found. The patients with Crohn's disease also had normal levels. Plasma ceruloplasmin was normal or increased in all. Determination of urinary copper output gave little diagnostic information. Alkaline phosphatases were markedly increased in most of the patients with increased liver copper concentration. In patients with
ulcerative colitis
and enhanced alkaline phosphatases, elevated liver copper content should be suspected and chelation therapy should be considered.
...
PMID:Liver copper content in patients with inflammatory bowel disease and associated liver disorders. 53 3
Thirty-nine patients with
ulcerative colitis
and 35 with Crohn's disease have been investigated for evidence of reaginic hypersensitivity and compared with control subjects. There was no difference in the frequency of a personal or family history of atopy or in serum IgE levels. Similarly, no overall difference was noted in prick test responses to 21 allergens. However, further analysis of prick test responses showed that patients with
inflammatory bowel disease
responded more frequently to food allergens. This was highly significant when compared with healthy controls (p less than 0.001). The relevance of this finding to the aetiology of
inflammatory bowel disease
is discussed.
...
PMID:Atopy in inflammatory bowel disease. 53 6
The nutritional habits of 114 patients with
ulcerative colitis
were investigated by means of questionnaires and compared with a control group of 114 persons matched to age, sex and social status. The differences between both groups can be explained by an adaptation of dietary habits of patients with chronic
inflammatory bowel disease
(
ulcerative colitis
). Patients with
ulcerative colitis
consumed significantly more cereal products and potatoes but significantly less milk products, coffee, tea, fruit-juice, lemonade, vegetables, fruit and alcohol than the control group.
...
PMID:[Dietary habits of patients with ulcerative colitis (author's transl)]. 53 45
One adolescent and two young adults had
ulcerative colitis
and cerebral thrombosis. All survived with neurologic deficit. These patients had no other predisposing factor for cerebrovascular disease. Systemic arterial and venous thromboembolic complications occur often in
ulcerative colitis
, but stroke is uncommon. Abnormalities in the early stages of clotting may be responsible, and the risk of thromboembolic phenomena in young patients seems to increase with exacerbations of this form of chronic
inflammatory bowel disease
, and possibly with regional enteritis as well.
...
PMID:Strokes and ulcerative colitis. 56 88
During a ten-year period, a double-blind retrospective study of 32 colectomy specimens from patients with
inflammatory bowel disease
(
IBD
) showed that the majority of cases could be clearly separated into
ulcerative colitis
(UC, 65%) and Crohn's disease (CD, 19%). However, in five (16%) colectomy specimens, the pathologic changes did not fulfill the criteria generally accepted for UC and CD. Criteria were laid down to differentiate the indeterminate form of colitis from the two more familiar types of
IBD
. We discuss the value of the category "indeterminate colitis" and emphasize that the term "transmural inflammation" is loosely used and that accurate definition of this criterion removes much of the difficulty from the differential diagnosis of
IBD
.
...
PMID:Indeterminate colitis in the spectrum of inflammatory bowel disease. 58 45
Serum lysozyme (muramidase) concentrations were determined in 55 patients with
inflammatory bowel disease
, 6 with miscellaneous bowel disease, 40 with pulmonary tuberculosis, and in 20 normal subjects. The mean (+/- SE) lysozyme concentration for each group was as follows: controls 6,95 +/- 0,36 microgram/ml;
ulcerative colitis
9,61 +/- 1,02 microgram/ml; inactive Crohn's disease 7,61 +/- 0,53 microgram/ml; active Crohn's disease 20,77 +/- 2,17 microgram/ml; sputum-negative tuberculosis 13,05 +/- 1,06 microgram/ml; and sputum-positive tuberculosis 20,35 +/- 2,08 microgram/ml. The mean enzyme levels were significantly higher in patients with Crohn's disease than in those with
ulcerative colitis
(P less than 0,05) or in normal controls (P less than 0,01). Our findings suggest that serum lysozyme levels may be useful in differentiating active Crohn's disease from
ulcerative colitis
, but the results overlap somewhat. However, the enzyme level may be a useful index of disease activity in following up patients with Crohn's disease. As tuberculosis is endemic in this country it must first be excluded, because patients with pulmonary tuberculosis have similarly high levels of serum lysozyme.
...
PMID:Serum lysozyme in Crohn's disease and ulcerative colitis. 60 77
The term
inflammatory bowel disease
(
IBD
) is viewed as all-inclusive, covering the full panoply of intestinal disorders in which inflammatory changes are a prominent feature, including those of infectious, toxic, and intrinsic origin as well as the idiopathic entities
ulcerative colitis
and Crohn's disease. This chapter describes and discusses those aspects of colo-rectal biopsy in
IBD
which can help pathologists make optimal interpretations. The areas covered are: 1) methods used to prepare biopsy specimens for study, 2) normal histologic findings and common artefacts, 3) basic pathologic changes occurring in
IBD
, 4) a general approach to differential diagnosis in
IBD
, and 5) discussion of the various individual forms of
IBD
. The importance of full and reliable information exchange between the endoscopist and pathologist is stressed. Special attention is given to features in biopsy specimens which help in differentiating between
ulcerative colitis
and Crohn's disease. Other entities discussed are bacterial dysenteries; gonococcal proctitis; tuberculosis; Whipple's disease; amebiasis; balantidiasis; schistosomiasis; cryptosporidiosis; lymphopathia venereum; cytomegalovirus infection; histoplasmosis; antibiotic colitis;
IBD
due to cytotoxic drugs (5-FU), heavy metals, and foodstuffs; irradiation colitis; ischemic colitis; solitary ulcer syndrome; diverticulitis; and colitis secondary to obstruction. The term pseudomembranous enterocolitis is also considered.
...
PMID:Colo-rectal biopsy in inflammatory bowel disease. 61 15
As there have been reports of differences in mean levels of serum immunoglobulins between patients with
ulcerative colitis
and Crohn's disease, serum IgG, IgA, and IgM were estimated in 158 patients with
inflammatory bowel disease
and the results correlated with the clinical features of the patients. Although a higher mean IgG level in
ulcerative colitis
compared to Crohn's disease was confirmed, no difference was found when the comparison was limited to patients with colonic Crohn's disease. Patients with either disease had higher mean IgM levels than controls, and the IgM levels were higher on treatment with corticosteroids and showed a tendency to rise in remission. IgG and IgM levels were also higher in both diseases if extraintestinal manifestations were present. It is concluded that if clinical features, particularly disease site, are taken into account, the overall immunoglobulin responses in these two diseases show no differences.
...
PMID:The humoral immune system in inflammatory bowel disease. II. Immunologlobulin levels. 62 74
To establish the prevalence of peripheral arthritis, radiographic sacroiliitis, and ankylosing spondylitis in patients with
inflammatory bowel disease
, 58 consecutive patients suffering from
ulcerative colitis
(UC) and 51 with Crohn's disease (CD) underwent a detailed rheumatological examination. In addition, all patients were screened for the presence of the antigen HLA B27. Peripheral arthritis was found in 14 (8 UC, 6 CD) patients (12.8%); radiographic sacroiliitis was diagnosed in 11 (5 UC, 6 CD) (10.1%), of whom 10 were asymptomatic; and ankylosing spondylitis was diagnosed in 2 UC and 2 CD patients (3.7%). 18.9% of the UC and 3.9% of the CD patients were HLA B27 positive. One of the 11 patients with radiographic sacroiliitis and 2 of the 4 with ankylosing spondylitis had the HLA B27 antigen. Peripheral arthritis, radiographic sacroiliitis, and ankylosing spondylitis are apparently frequent manifestations in patients suffering from
inflammatory bowel disease
. Asymptomatic radiographic sacroiliitis in these patients appears to differ from idiopathic ankylosing spondylitis, both clinically and genetically. Evaluation of subjective rheumatological complaints, necessary for a confident diagnosis of ankylosing spondylitis, according to the New York criteria is difficult during a flare-up of the inflammatory bowel process, as was shown in 4 CD cases with marked limitation of lumbovertebral function and chest expansion, but no radiological abnormalities of the SI joints.
...
PMID:Ankylosing spondylitis and inflammatory bowel disease. II. Prevalence of peripheral arthritis, sacroiliitis, and ankylosing spondylitis in patients suffering from inflammatory bowel disease. 62 1
Lysozyme (EC 3.2.1.17) concentrations were measured in the serum and stools of patients with
inflammatory bowel disease
and compared with the concentrations in similar material from normal controls, patints with non-inflammatory gastrointestinal disease, and patients without gastrointestinal disease. By the turbidometric method, values of lysozyme (microgram/ml +/- SD) are considerably greater in the serum of patients with active Crohn's disease (9.2 +/- 2.7) than in the serum of healthy controls (4.4 +/- 2.0). They do not, however, distinguish individual patients with Crohn's disease from those with
ulcerative colitis
nor from those with a variety of other gastrointestinal conditions. The lysoplate method gives much higher values for serum lysozyme than the turbidometric method but there is a considerable overlap between the results for patients with Crohn's disease (60.1 +/- 30.7) and normal controls (27.4 +/- 17.5). There is only a moderate correlation between the results given by the two methods (r = 0.56) and it is suggested that factors other than enzyme activity and methodological variation are responsible for the observed differences. This is supported by the finding that, with Crohn's disease in remission, serum lysozyme values (lysoplate) return to normal values but with the turbidometric method remain raised. Mean faecal lysozyme levels, expressed either as a concentration or as total daily excretion, in patients with
inflammatory bowel disease
are very significantly greater than values in healthy controls and in diseased subjects without diarrhoea but are not significantly different from those subjects with other causes of diarrhoea.
...
PMID:Serum and faecal lysozyme in inflammatory bowel disease. 63 44
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