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Ulcerative colitis
Disusun Oleh :NUSHROH ULFAH AZZAHRO HARIYONO
Pembimbing :dr. Jacobus Albert, Sp.PD K-GEH, FINASIM, FASSGE, AGAFINTRODUCTION Form of inflamatory bowel disease. disease of the intestine, specifically the large intestine or the colon that includes characteristics of ulcers, or open sores in the colon. intermittent disease with period of exacerbated symptoms and relatively symptom-free. has no known cause.Colonoscopy colon normal, Chrons disease, dan colitis ulcerative
DIFFERENCE
CLASSIFICATION Ulcerative proctitis* involvement limited to the rectum Ulcerative proctosigmoiditis 40- 50% rectum and sigmoid* rectum and sigmoid Left- sided distal 30-40% past sigmoid* as far as splenic flexure Extensive * past splenic flexure but sparing cecum Pancolitis * involves cecumPREVALENCY OF ULCERATIVE COLITIS
PATOFISIOLOGI..\patofis kolitis.docx CAUSESRISK FACTORS Age, usually starts between the age of 15 35 more common in women than men ethnic, whites are more at risk place, industrial area inflammation of the bile duct Use of isotretinoin (accutane)CLINICAL MANIFESTASION
Diarrhea mixed with blood mucus Weight loss Blood on rectal examination Abdominal pain Mild discomfort to severely painful cramps Painful, arthrititic knees in teenager Aphthous ulcers of the mouth autoimmune hemlytic anemia Clubbing, a deformity the ends of the fingers
Ophthalmic episcleritis Musculoskeletal seronegative arthritis, or may affect many small joints of the hands and feetAnkylosing spondylitis, sacroilitis Cutaneous (related to he skin) erythema nodosum, which is a panniculitis, or inflammation of subcutaneous tisue involving the lower extremitas pyoderma gangrenosum, which is a painful ulcerating lesion involving the skin
TREATMENT OF ULCERATIVE COLITIS
TERIMA KASIH