Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 56: An Inherited Form of Abdominal Pain, Fever, and Arthritis (continued)

James Hamilton, MD

A 39-year-old man was referred to our hospital by his family physician with the diagnosis of irritable bowel syndrome. He complained of recurrent attacks of diffuse abdominal pain for the previous 20 years. His first episode, he vividly recalled, occurred the day of his senior prom. He noted occasional fevers, arthritis, and rash associated with his pain. Symptoms would last for several days and then dissipate. The attacks were not associated with vomiting or abnormal bowel movements. Past medical history was notable for hepatitis C virus (HCV) infection and cirrhosis. The hepatitis C was…