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Open Access Case Report

Ulcerative colitis in a Nigerian girl: A case report

Idowu O Senbanjo16*, Kazeem A Oshikoya23, Charles A Onyekwere4, Fatimah B Abdulkareem5 and Olisamedua F Njokanma1

Author Affiliations

1 Department of Paediatrics and Child Health, Lagos State University College of Medicine, PMB 21266, Ikeja, Lagos State, Nigeria

2 Pharmacology Department, Lagos State University College of Medicine, PMB 21266, Ikeja, Lagos State, Nigeria

3 Academic Division of Child Health, Medical School (University of Nottingham), Derbyshire Children’s Hospital, Uttoxeter Road, Derby, DE22 3DT, UK

4 Department of Medicine, Lagos State University College of Medicine, PMB 21266, Ikeja, Lagos State, Nigeria

5 Gastrointesinal/Hepato-pathology Unit, Morbid Anatomy Department, College of Medicine, University of Lagos, P.M.B. 12003, Idi-Araba, Lagos, Nigeria

6 Paediatrics Gastroenterology, Hepatology and Nutrition Unit, Department of Paediatrics and Child Health, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria

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BMC Research Notes 2012, 5:564  doi:10.1186/1756-0500-5-564

Published: 10 October 2012

Abstract

Background

Ulcerative colitis (UC) is uncommon in the tropics and sub-tropics. We report a case of UC in a 7 year old girl whose parents were both Nigerians. This report is to alert healthcare professionals in sub-Saharan Africa that UC is not a rare health problem, especially in children.

Case presentation

The patient presented with frequent passage of blood stained stool, abdominal pain and significant weight loss. The diagnosis was entertained after she was investigated for common causes of chronic diarrhea in our setting and the findings were negative. The patient symptoms abated after she was commenced on steroid therapy.

Conclusion

Under-diagnosis and misdiagnosis may account for a dearth of information on UC in African children.

Keywords:
Ulcerative colitis; Child; Nigerian