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Objective: In Panama there is no record of inflammatory boweldisease, for this reason the purpose of this article is give relevance to the subjective opinion of our specialists that there is an increase of this disease in our population.
Clinical features: This case is about a 39 year oldfemale without known pathological history who was admitted due to muco sanguineous diarrhea, intermittent rectorrhage of approximately 19 years of evolution, associated with weight loss, hypogastric colic pain and anorexia in the last 6 months.
Intervention and results: Among the laboratories carried out, the positive perinuclear anti-neutrophil antibody "pANCA" stands out, likewise the colonoscopy performed showed abnormalities suggestive of chronic ulcer colitis. The management was based on thecombination of aminosalicylates, corticosteroids and immunomodulators, achieving the resolution of their symptomatology on the seventh day in-hospital.
Conclusion: Due to the acquisition of behavior patterns imported from developed countries, it is to be expected in our country that these diseases that are considered uncommon are reflected, so that adequate knowledge is necessary for the diagnosis and timely management, preventing patients suffer from cumbersome symptoms for more than a decade, as happenedin this case.
