Psychosomatic complications during treatment for ulcerative colitis

Cezary Chojnacki; Marek Romanowski; Patrycja Wachowska-Kelly

doi:10.5114/pg.2012.27224

eISSN: 1897-4317
ISSN: 1895-5770

Gastroenterology Review/Przegląd Gastroenterologiczny

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1/2012
vol. 7

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abstract:

Case report

Psychosomatic complications during treatment for ulcerative colitis

Cezary Chojnacki

,

Marek Romanowski

,

Patrycja Wachowska-Kelly

Przegląd Gastroenterologiczny 2012; 7 (1): 52–55

DOI: https://doi.org/10.5114/pg.2012.27224

Online publish date: 2012/02/29

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Immunosuppressive drugs can cause serious side effects. We describe a case of a young patient with ulcerative colitis (UC), in whom after azathioprine treatment acute pancreatitis occurred. Then for a period of four months tioguanine and briefly cyclosporine A (5 days) were given; these caused pancytopenia, infectious mononucleosis, and herpetiform dermatitis. Along with side effects, mood disorder as an anxiety-depressive syndrome was present. Return to classical mesalazine therapy combined with tianeptine gave a few months of remission of UC and mental status improvement.

keywords:

Psychosomatic complications during treatment for ulcerative colitis

Cezary Chojnacki , Marek Romanowski , Patrycja Wachowska-Kelly

ulcerative colitis, azathioprine, tioguanine, adverse events

Cezary Chojnacki

,

Marek Romanowski

,

Patrycja Wachowska-Kelly