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An unusual cause of colitis

Published:January 05, 2022DOI:https://doi.org/10.1016/j.ejim.2022.01.009
      An 81-year-old Japanese woman presented to the author's department with acute abdominal pain and nausea. Laboratory evaluation showed a white-cell count of 13,270 cells/mm3 (Reference range, 3500–8500) and a C-reactive protein of 2.37 mg/dL (Reference range, 0.00–0.30). Non-enhanced computed tomography (CT) revealed calcification of mesenteric veins and thickening of the wall of the ascending and transverse colon (Fig. 1, Panel A). Colonoscopy showed edematous mucosa with erosions in the right hemicolon (Fig. 1, Panel B). The patient had taken a Chinese herbal medicine, Qing Fei Tang (Seihaito in Japanese), due to chronic cough and sputum for several years. What is the diagnosis?
      Fig 1
      Fig. 1Panel A: Non-enhanced computed tomography revealing calcification of mesenteric veins and thickening of the wall of the ascending and transverse colon. Panel B: Colonoscopy showing edematous mucosa with erosions in the right hemicolon.

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      Reference

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        • Chen Y.W.
        • Meng A.H.
        • Zhao M.
        • Fang S.H.
        • Ma Y.Q.
        Ideopathic mesenteric phlebosclerosis associated with long-term oral intake of geniposide.
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