Korean Journal of Gastrointestinal Endoscopy 1999;19(2): 242-248.
다발성 베체트 식도 궤양 1 예 (A Case of Multiple Esophageal Ulcerations in Behcet's Disease)
김형주, 이숭, 최수인, 박상후, 김상국, 장안수, 양승원, 서재평, 박홍배 (Hyung Ju Kim, Soong Lee, Soo In Choi, Sang Hoo Park, Sang Guk Kim, An Soo Jang, Seung Won Yang, Jeong Pyeong Seo and Hong Bae Park)
Abstract
Hyung Ju Kim , Soong Lee , Soo In Choi , Sang Hoo Park , Sang Guk Kim , An Soo Jang , Seung Won Yang, , Jeong Pyeong Seo , Hong Bae Park The diagnostic criteria of Behcet' s disease - which requires the presence of recurrent oral ulceration plus any two of recurrent genital ulceration, typical defined eye lesions, typical defined skin lesions or a positive pathergy test - was proposed by the International Study Group for Behcet' s Disease (ISGBD). Intestinal Behcet' s disease most commonly affects the ileocecal region, but esophageal involvement of Behcet' s disease is rare, only 8 cases have previously been reported in Korea. A 23-year old female who had a 10-year history of recurrent oral and genital ulcer and recurrent erythematous skin eruption, was admitted to our hospital because of dysphagia and substernal pain. Endoscopic exami-nation showed multiple small sized ulcers on oral cavity and two diffuse deep ulcers surrounded with irregularly nodular and hyperemic edematous mucosa at distal esophagus. The pathologic finding was subepithelial accumulation of chronic inflammatory cells, especially around the vessels. So she was treated with steroid under the diagnosis of esophageal involvement of Behcet' s disease. She has been followed in improvement status without recurrence. (Korean J Gastrointest Endosc 19: 242 ∼246, 1999)
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