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Successful management of cap polyposis with eradication of Helicobacter pylori relapsing 15 years after remission on steroid therapy.

Authors
  • Takeshima, Fuminao
  • Senoo, Takemasa
  • Matsushima, Kayoko
  • Akazawa, Yuko
  • Yamaguchi, Naoyuki
  • Shiozawa, Ken
  • Ohnita, Ken
  • Ichikawa, Tatsuki
  • Isomoto, Hajime
  • Nakao, Kazuhiko
Type
Published Article
Journal
Internal medicine (Tokyo, Japan)
Publication Date
Jan 01, 2012
Volume
51
Issue
4
Pages
435–439
Identifiers
PMID: 22333383
Source
Medline
License
Unknown

Abstract

A 37-year-old woman was evaluated at our hospital for a treatment-resistant proctosigmoiditis. Fifteen years previously, ulcerative colitis was suspected and she was cured by steroid therapy. Colonoscopy revealed multiple sessile polyps covered with white exudate from the rectum to the sigmoid colon. Histopathological examination revealed a mucosal surface cover of granulation tissue. Based on these findings, cap polyposis was diagnosed. She underwent Helicobacter pylori eradication therapy, and at 1 month after therapy, her symptoms had improved. We present a case of cap polyposis relapsing 15 years after remission with steroid therapy, and that was improved by H. pylori eradication therapy.

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