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Case Reports
. 2022 Jun 22;14(6):e26203.
doi: 10.7759/cureus.26203. eCollection 2022 Jun.

A Rare Case of New-Onset Ulcerative Colitis in a Nonagenarian

Emmanuel U Emeasoba  1 , Cece E Ibeson  1 , Sanchit Kundal  1 , Stefanie Biondi  2 , Ifeanyi Nwosu  1 , Shmuel Golfeyz  3 , Michael Kantrowitz  3 , Dimitry Khodorskiy  3
Affiliations
Case Reports

A Rare Case of New-Onset Ulcerative Colitis in a Nonagenarian

Emmanuel U Emeasoba et al. Cureus. .

Abstract

Ulcerative colitis (UC) is one of two major types of inflammatory bowel disease (IBD). It is defined as a chronic idiopathic inflammatory disease limited to the colorectal mucosal layer and characterized by relapsing and remitting episodes of inflammation. UC almost invariably involves the rectum and extends proximally in a continuous distribution to part or the entire colon. Development of disease after 75 years of age is uncommon, with new-onset over the age of 80 accounting only for 1% of all new diagnoses. We present a case of a new onset UC in a 90-year-old patient presenting with painless hematochezia.

Keywords: -year-old; acute flare; biologic agents; histologic remission; ulcerative colitis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Rectum: erythematous, edematous and friable mucosa with loss of vascularity, and superficial ulcerations with exudate
Figure 2
Figure 2. Sigmoid colon: erythematous, edematous and friable mucosa with loss of vascularity, and superficial ulcerations with exudate, as well as multiple small-mouthed diverticula
Figure 3
Figure 3. Descending colon: erythematous, edematous and friable mucosa with loss of vascularity, and superficial ulcerations with exudate, as well as multiple small-mouthed diverticula
See this image and copyright information in PMC

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