Subcorneal pustular dermatosis and episcleritis associated with poorly controlled ulcerative colitis.
BMJ Case Rep 2017 Jan 30;2017. Epub 2017 Jan 30.
Department of Dermatology, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA.
A man aged 56 years with a history of ulcerative colitis (UC) status postsubtotal colectomy was hospitalised with fevers, dry cough, eye redness and a new bloody, mucoid rectal discharge. 2 months prior to admission, the dermatologist had started him on dapsone for subcorneal pustular dermatosis but did not recognise that he had recently self-discontinued mesalamine enemas, inducing a flare of his UC. After a thorough inpatient evaluation, including flexible sigmoidoscopy, active UC involving the rectal stump was determined to be driving his dermatological and ophthalmological findings. Read More