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Skrifvars B: Gastrointestinal disturbances in patients with severe rheumatoid arthritis
Sachiko Kawamura, MD,* Atsuko Imai, MD,t Masashi Kawamura, MD,* Masaaki Kataoka, MD," Hisao Itoh, MD,* Hiroshi Mogami, MD,* Akira Komatsu, MD,* and Ken Hamamoto, MD* Ultrasonography of the stomach in a patient suffering from secondary amyloidosis with a confirmed diagnosis of rheumatoid arthritis (RA) revealed transabdominal visualization of the wall thickening, retention of secretions, and delayed emptying of gastric contents despite no administration of a n anticholinergic agent (e.g., Buscopan, Schering Pharmaceutical Co.). In the stomach of a patient with secondary amyloidosis, the From the "'Department of Radiology, Ehime University School of Medicine. and iDepartment of Rheurnatology, Dogo Spa Hospital, Ehime, Japan. For reprints contact Sachiko Kawamura, MD, Department of Radiology, Ehime University School of Medicine, Shitsukawa 454, Shigenobu-cho, Onsen-gun. Ehirne, 791-02, Japan. ultrasound findings were as nonspecific as the findings of barium meal radiography.' Nevertheless, ultrasonography is useful not only as a supplement to endoscopic examination andlor barium meal radiography, but also as a diagnostic alternative in selected patients who cannot undergo the stress caused by these methods. CASE REPORT A 68-year-old woman had suffered from RA since 51 years of age. For the last 2 months, she com- FIGURE 1. The first ultrasound examination when the
Journal of Clinical Ultrasound – Wiley
Published: Sep 1, 1991
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