Dear Sir,We read with Interest the case of filiform polyposis (FP) associated with diverticulosis in the absence of inflammatory bowel disease.1 We would like to report herein an unusual presentation of ulcerative colitis as isolated filiform polyposis. A 72-year-old male patient was referred to us on March 2010 due to diarrhea of 12 months' duration and progressive 10-kg weight loss. The otherwise healthy patient denied abdominal pain, bloody stool, and a family history of inflammatory bowel disease. An ileocolonoscopy performed shortly after symptom onset was unrevealing. The laboratory workup demonstrated mild normochromic anemia (hemoglobin: 11.5 gr/dl), mildly-raised c-reactive protein at 32 mg/dl, negative antibodies to endomysium, gliadin and transglu-taminase, and a normal thyroid-metabolic panel. Esophago-gastro-duodenoscopy with subsequent biopsies was normal. No bowel wall lesions or signs of lymphadenopathy were demonstrated in abdominal CT-scan.
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机译：亲爱的主席先生，我们感兴趣地阅读了在没有炎性肠病的情况下，与憩室病相关的丝状息肉病（FP）病例。1我们在此报告溃疡性结肠炎的异常表现为孤立的丝状息肉病。 2010年3月，有一名72岁的男性患者因腹泻持续12个月并逐渐减轻体重10公斤而转诊给我们。这位原本健康的患者否认腹痛，血便和家族性炎症性肠病。症状发作后不久即行回肠结肠镜检查。实验室检查显示，轻度正常色素性贫血（血红蛋白：11.5 gr / dl），c-反应蛋白轻度升高（32 mg / dl），内胚层，麦醇溶蛋白和转谷氨酰胺酶的阴性抗体以及正常的甲状腺代谢组。食管胃十二指肠镜检查及随后的活检是正常的。腹部CT扫描未显示肠壁病变或淋巴结肿大迹象。
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