Hospital therapy. Classification of ulcerative colitis (the most important)

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Hospital therapy. Classification of ulcerative colitis (the most important)

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50. Classification of nonspecific ulcerative colitis

Nonspecific ulcerative colitis is an inflammatory disease that affects the mucous membrane of the colon with ulcerative-destructive changes, which has a chronic relapsing course, often accompanied by the development of life-threatening complications.

Classification (Yu. V. Baltaitis et al., 1986). Clinical characteristic.

1. Clinical form:

1) acute;

2) chronic.

2. Current:

1) rapidly progressing;

2) continuously relapsing;

3) recurrent;

4) latent.

3. Degree of activity:

1) exacerbation;

2) fading exacerbation;

3) remission.

4. Severity:

1) light;

2) moderate;

3) heavy. Anatomical characteristic.

1. Macroscopic characteristic:

1) proctitis:

2) proctosigmoiditis;

3) subtotal lesion;

4) total defeat.

2. Microscopic characteristic:

1) the predominance of destructive-inflammatory processes;

2) reduction of inflammatory processes with elements of reparation;

3) consequences of the inflammatory process. Complications.

1. Local:

1) intestinal bleeding;

2) perforation of the colon;

3) narrowing of the colon;

4) pseudopolyposis;

5) secondary intestinal infection;

6) disappearance of the mucous membrane;

7) toxic dilatation of the colon;

8) malignancy.

2. General:

1) functional hypocorticism;

2) sepsis;

3) systemic manifestations - arthritis, sacroiliitis, skin lesions, iritis, amyloidosis, phlebitis, sclerosing cholangitis, liver dystrophy.

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