A 44 year old male patient who is married, has two children, and who was born and still lives in Medellín, came to the Hospital Pablo Tobon Uribe HPTU in Medellín after sufering diarrhea for three months. Bouts of diarrhea were occurring up to 10 times a day with blood apparent in the feces. Diarrhea was associated with pushing, rectal tenesmus, asymmetric polyarthralgia in large joints elbow and knee, skin rash on the lower limbs, fatigue, weakness, 5 kg weight loss and pallor. A colonoscopy done one month earlier had shown lef ulcerative colitis.
Paciente de 44 años, natural y procedente de Medellín, casado, con 2 hijos, quien consulta al Hospital Pablo Tobón Uribe HPTU de la ciudad de Medellín, por cuadro de 3 meses de evolución de deposiciones diarreicas hasta 10 al día, con sangre, asociado a pujo y tenesmo rectal, poliartralgias asimétricas en grandes articulaciones codo y rodilla, "brote" en miembros inferiores, asociado a astenia, adinamia, pérdida de peso de 5 kilogramos y palidez.