Korean Journal of Gastrointestinal Endoscopy 1999;19(3): 473-477.
소아에서 발생한 베체트 장염 1 예 ( A Case of Behcet's Colitis in Children )
송익진, 이주석, 양의준, 남상욱, 박재홍 (Ick Jin Song, Ju Seok Lee, Eu Jun Yang, Sank Ook Nam and Jae Hong Park)
Abstract
Behcet's disease consists of a triad of relapsing inflammatory disease of the eye (iridocyclitis) with painful and recurrent oral and genital ulcerations. Arthritis, thrombophlebitis, neurologic abnormalities, fever, and colitis are associated clinical manifestations. The disease affects predominantly young adults and is very rare in children, especially those under 10 years of age. The proportion of Behcet's colitis in Behcet's disease is about 12%. Ulcerations are localized or diffuse, with the majority occuring in the ileocecal region. Extension to the serosal surface may result in perforation. The frequent complaints are abdominal pain, nausea, vomiting, diarrhea, hematochezia, loss of appetite, loss of weight gain, distention and palpable abdominal mass. The disease is complicated by intestinal obstruction, perforation, fistula formation, abscess formation and hemorrhage. We experienced a case of Behcet's colitis in a 9-year-old boy showing symptoms of abdominal pain, tenderness, and diarrhea. Thus, we report a case of Behcet's colitis with brief review of related literatures. (Korean J Gastrointest Endosc 19: 473∼477, 1999)