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Unusual cause of bloody stool with earache and saddle-nose deformity
  1. Zhenzhen Liu1,
  2. Xiaolei Liu2,
  3. Jie Liang1,
  4. Yongquan Shi1,
  5. Min Chen1
  1. 1State key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Air Force Military Medical University, Xi'an, China
  2. 2Department of Medical Insurance, Xijing Hospital, Air Force Military Medical University, Xi'an, China
  1. Correspondence to Dr. Min Chen, State key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Air Force Military Medical University, Xi'an, Shaanxi, China; yongheng_19860803{at}163.com

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Clinical presentation

A 41-year-old female patient was admitted to hospital with bloody stool and diarrhoea for 2 months, accompanied with fever, left earache, obvious saddle-nose deformity and red eyes for 2 weeks. She had history of repeated multiple sore joints for 6 months and hearing impairment in the left ear for 4 months. Laboratory tests showed elevated white cell count (WBC) of 15.57×10ˆ9/L, neutrophil of 76.8% and C reactive protein (CRP) of 95.4 mg/L. Haemoglobin was decreased at 94 g/L. Antineutrophil cytoplasmic antibody was negative. Colonoscopy showed diffuse inflammation and ulcers in the left-sided colon (figure 1). Histological findings from sigmoid colon showed chronic inflammation without …

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Footnotes

  • Contributors MC performed the endoscopy, prepared the endoscopic figures and wrote the manuscript. ZL collected medical history, prepared the CT and MRI figures. XL revised the manuscript carefully. All authors contributed to the care of the patient.

  • Funding The case was funded by National Natural Science Foundation of China, Grant Number: 81600443, 81873554.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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