Korean Journal of Gastrointestinal Endoscopy 2010;41(5): 308-311.
경구철분제제 투여 중 동시에 발견된 십이지장 및 회장 흑색소증 1예
이경원ㆍ정우진ㆍ이정화ㆍ강종원ㆍ장경희ㆍ한군희ㆍ강길현*ㆍ천갑진
울산대학교 의과대학 강릉아산병원 소화기내과학교실, *진단병리학교실
Simultaneous Melanosis Duodeni and Melanosis Ilei in a Patient Taking Oral Iron
Kyoung Won Lee, M.D., Woo Jin Jeong, M.D., Joung Hwa Lee, M.D., Jong Won Kang, M.D., Kyeong Hee Jang, M.D., Koon Hee Han, M.D., Gil Hyun Kang, M.D.* and Gab Jin Cheon, M.D.
Departments of Internal Medicine and *Pathology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
Abstract
Melanosis means the accumulation of brown or black pigment in an organ. Melanosis can be observed in virtually all parts of the gastrointestinal tract. However, it most frequently affects the colon. It is said that melanosis in small intestine is very rare, and no case has been reported in which melanosis was simultaneously noted in duodenum and ileum without involving the colonic mucosa. Here we report a case of melanosis duodeni and melanosis ilei which were found simultaneously in a 56-year-old female patient with chronic renal failure and heart failure who had been taking oral ferrous sulfate for 3 years. (Korean J Gastrointest Endosc 2010;41:308-311)