Korean Journal of Gastrointestinal Endoscopy 2001;23(3): 169-173.
식도 궤양과 회맹장부 궤양을 동반한 베체트병 1 예 ( A Case Report of Esophageal and Ileocecal Valve Involvement in Behcet`s Disease )
차건영(Geon Young Cha),한상훈(Sang Hoon Han),정재화(Jae Hwa Jung),황의원(Eui Won Hwang),김은주(Eun Joo Kim),정일권(Il Kwun Chung),김홍수(Hong Soo Kim),박상흠(Sang Heum Park),이문호(Moon Ho Lee),김선주(Sun Joo Kim)
Abstract
Behcet`s disease characterized by recurrent oral and genital ulceration and ocular inflammation has been recognized as a multi-system disorder with numerous manifestitions including gastrointestinal tract. Therminal ileum and cecum are the most frequently involved portions of the gastrointestinal tract in Behcet`s disease and esophageal involvement is very uncommon. We experienced a case of Behcet`s disease involved esophagenal and ileocecal region which had been diagnosed by endoscopy. A 20-year-old male was admitted by dysphagia and substernal discomfort. There was a history of recurrent aphthous stomatitis and genital ulcers. The large geographic ulcers surrounded with edematous mucosa were forund at mid esophagus and the huge ulcer with exudate was noted on ileocecal valve area in endoscopic examination. The microscopic finding of endoscopic biopsy showed chronic nonspecific inflammation with necrotic inflammatory exudate. Pathergy test was positive. So he was diagnosed as Behcet`s disease, and his symptoms and signs were resolved after steroid treatment. (Korean J Gastrointest Endosc 2001;23:169-173)
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