Korean Journal of Gastrointestinal Endoscopy 2000;20(6): 449-455.
증례 : 식도궤양과 호맹판 궤양을 동반한 베체트병 1예 ( A Case of Behect's Disease with Esophageal and Beocecal Valve Ulcers )
박영우(Young Woo Park),권형주(Hyung Joo Kwon),이무열(Moo Yeol Lee),이철호(Cheol Ho Lee),김진관(Jin Kwan Kim),김미영(Mi Young Kim),황인석(In Seog Hwang),유흥선(Heung Sun Yu),김영묵(Young Muk Kim),이동윤(Dong Yun Lee),이준상(Joon Sang Lee)
Abstract
Behcet's disease is a multisystemic, chronie inflammatory disease with a triad of symptoms including oral ulcers, genital ulcers, and inflammatory ocular lesions. While intestinal Behcet's disease commonly affects the ileocecal region, esophageal ulceration with odynophagia is very uncommon. A 38-year-old male patient was admitted due to odynophagia, a postprandial epigastric burning sensation, and right lower quadrant abdominal pain. He had a history of recurrent oral and genital ulcerations, An esophagogastroduodenoscopy revealed relatively well demarcated ulcerative lesions with mucosal nodiularities on the mid to distal esophagus which was suspected to be esophageal cancer. But repeated biopsies showed lymphocytic and plasma cell infiltrations on the lamina propria. A colonoscopy revealed a well demarcated, deep ulcerative lesion with stenotic narrowing in the ileocecal valve. The diagnosis of intestinal Behcct's disease with an esophageal ulcer was made on the basis of clinical and pathological findings. The patient was treated with steroids and sulfasalazine and the response was favorable. (Korean J Gastrointest Endosc 2000;20:456-459)
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