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5 2) J. E. Rennard-Jones, G. W. Cooper, A. C. Newell, C. W. E. Willson F. Aver Jones, Observation on idiopathic proctitis. Gut, 3, 201 `206, ) Farmer, G. G. and C. H. Brown, Ulcerativecolitis confined to the rectum and sigmoid flexure. Disease of colon and rectum, 10, 177 `182, ) Kiron M., R. Morecki, P. Nair, J. M. Berkowitz, Idiopathic proctitis. Digestive Disease, 22, , Gastroenterological Endoscopy
6 15) Bishop R. F., Davidson, G. P., Holmes L. I. and Ruck B. J. Virus particles in epithelial cells of duodenal mucosa from chidren with acute non-bacterial gastroenteritis. Lancet, 2, 1281 `1283, 1973, 16) Kapikian A. Z., Wyatt R. G., Dolin R., Thornhill T. S. Kalica A. R, and Chanock, R. M. Visualization by immune electron microscopy of a 27 nm particle associated with acute infectious nonbacterial gastroenteritis. J. Virol. 10, 1075~1081, (2) All of the 10 cases of proctitis and/or proctosigmoiditis accompanying common cold-like symptoms A STUDY OF IDIOPATHIC PROCTITIS AND PROCTITIS AND/OR PROCTOSTOSIGMOIDITIS ACCOMPANYING TOMS COMMON COLD-LIKE SYMP- MASAOTSUBOI, HARUHIDE SHINZAWA, TOSHIAKI GOTO, TSUTOMU KAMEI, HIROMICHI SHIMAZU, TSUNEO TAKAHASHI, GORO YAMAGISHI, KOTARO UENO, MAKOTO ISHIKAWA. The Second Department of Medecine, Yamagata University, Medical School, Yamagata, Japan. of the latter, both of which were found by routine proctosigmoidscopic examination in our department of medicine for the past 15 months. The result were as follows (1) Only endoscopic examination with biopsy for the rectum could make diagnosis for proctitis. None of other diagnostic procedures including clinical symptoms, labolatory data and X-ray findings failed to reveal the diagnosis of proctitis. We have used the Olympus CF-MB2 routinely. were encountered during a period from December 1977 to March 1978 when the influenza due to Hongkong A-type virus prevailed concomitantly around the city. Therefore we have speculated that the proctitis and/or proctosigmoidi+is accompanying common cold-like symptoms might be caused by viral infection, although no definite proof for that was available so far. (3) In spite of the above observations we could not distinguish the difference among ulcerative colitis, idiopathic proctitis and the possible viral procto-sigmoiditis either by endoscopic or histological examinations as well as by X-ray examination. In Summary, we feel strongly the necessity to follow up those cases similar to ours, particularly using further diagnostic aid including immunological and virological techniques. In order to elaborate on a difference between the idiopathic proctitis and the proctitis and/or proctosigmoiditis accompanying common cold-like symptoms, we have compared with 23 cases of the former and 10 cases Gastroenterological Endoscopy 20 : , 1978 MASAO TSUBOI The Second Department of Medicine, Yamagata University, Medical School, Yamagata. áƒjƒ [ } à â Figure 5 A case of idiopathic proctitis Figure 6 A case of idiopathic proctitis Figure 7 Endoscopic photograph of case 3 Figure 8 Aphtoid erosion of case 3 Figure 9 Bleeding spot of case 3, 4 weeks after the first examination Figure 10 Endoscopic photograph of case 4 Figure 11 Endoscopic photograph of case 6
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