PMID- 17660731
OWN - NLM
STAT- MEDLINE
DCOM- 20070914
LR  - 20070730
IS  - 1234-1010 (Print)
IS  - 1234-1010 (Linking)
VI  - 13
IP  - 8
DP  - 2007 Aug
TI  - Bowel-associated dermatosis-arthritis syndrome in a patient with appendicitis.
PG  - CS97-100
AB  - BACKGROUND: Bowel-associated dermatosis-arthritis syndrome (BADAS) is defined by 
      the presence of pustular vasculitic skin lesions usually associated with blind 
      loops of the bowel, either after Billroth II or ileojejunal bypass surgery or 
      caused by a chronic inflammatory bowel disease such as Crohn's disease or 
      ulcerative colitis. CASE REPORT: A 50-year-old patient is presented with an 
      unusual case of pustulo hemorrhagic vasculitis over the lower arms and legs that 
      appeared ten days before the first symptoms of appendicitis, partially regressed, 
      and reappeared five days after appendectomy. Laboratory tests showed anemia, an 
      elevated erythrocyte sedimentation rate, and C-reactive protein as well as a 
      polyclonal increase in IgG and IgA levels, erythrocyturia and proteinuria. 
      Histopathological examination of a skin biopsy indicated the suspected diagnosis. 
      During hospitalization the patient developed arthropathy with swelling of the 
      metacarpophalangeal and interphalangeal joints and ankles. The patient was 
      treated with systemic antibiotics and corticosteroids, which caused resolution of 
      the symptoms. CONCLUSIONS: This report speculates that appendicitis was the 
      possible cause of BADAS in this case.
FAU - Prpic-Massari, Larisa
AU  - Prpic-Massari L
AD  - Department of Dermatovenerology, Medical Faculty, University of Rijeka, Rijeka, 
      Croatia. larisaprpic@yahoo.com
FAU - Kastelan, Marija
AU  - Kastelan M
FAU - Brajac, Ines
AU  - Brajac I
FAU - Cabrijan, Leo
AU  - Cabrijan L
FAU - Zamolo, Gordana
AU  - Zamolo G
FAU - Massari, Drazen
AU  - Massari D
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Med Sci Monit
JT  - Medical science monitor : international medical journal of experimental and 
      clinical research
JID - 9609063
SB  - IM
MH  - Appendicitis/*complications
MH  - Arthritis/*complications/diagnosis
MH  - Biopsy
MH  - Humans
MH  - Inflammation
MH  - Intestine, Small/metabolism/*pathology
MH  - Male
MH  - Middle Aged
MH  - Skin/pathology
MH  - Skin Diseases/*complications/diagnosis
MH  - Syndrome
EDAT- 2007/07/31 09:00
MHDA- 2007/09/15 09:00
CRDT- 2007/07/31 09:00
PHST- 2007/07/31 09:00 [pubmed]
PHST- 2007/09/15 09:00 [medline]
PHST- 2007/07/31 09:00 [entrez]
AID - 491660 [pii]
PST - ppublish
SO  - Med Sci Monit. 2007 Aug;13(8):CS97-100.