SUCCESSFUL REDUCTION OF STEROID WITH SAIREI-TO FOR ULCERATIVE COLITIS: REPORT OF A CASE

A 40-year-old man visited a clinic because of mucous and bleeding stool and diarrhea. He was diagnosed as ulcerative colitis (left-sided colitis) by barium enema, colonoscopy and histological findings. Prednisolone acetate 30mg/day and salicylazosulfa pyridine 4.0g/day were administrated for one yea...

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Published inJapanese Journal of National Medical Services Vol. 45; no. 2; pp. 174 - 176
Main Authors OBATA, Shinichiro, KIMURA, Keishi, MAEDA, Kazuhiro, SANADA, Isao, SATO, Masahiko, MATSUMURA, Katsumi, KAWANO, Fumio, HIGASHI, Kiichiro, SHIDO, Tadahiro
Format Journal Article
LanguageJapanese
Published Japanese Society of National Medical Services 1991
Subjects
Sairei-to
ulcerative colitis
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Summary:A 40-year-old man visited a clinic because of mucous and bleeding stool and diarrhea. He was diagnosed as ulcerative colitis (left-sided colitis) by barium enema, colonoscopy and histological findings. Prednisolone acetate 30mg/day and salicylazosulfa pyridine 4.0g/day were administrated for one year. However, the patient was not able to have remissions and came to our hospital. After admission symptoms disappeared by elemental hyperalimlentation and administration of prednisolone and salicylazosulfa pyridine. Despite of conventional therapy mucous and bloody stool occurred. Active colitis was proved by endoscopic and histological findigs. Prednisolone was increased to 60mg/day with Saireito (Kampo medicine). Symptoms have been disappeared and the dose of steroid have been decreased to 20mg/day and he has been well as an outpatient. It is considered that a successful decrease in doses of steroid might be due to the modulation effect of Saireito.
ISSN:0021-1699
1884-8729
DOI:10.11261/iryo1946.45.174