Korean J Gastrointest Endosc > Volume 32(2); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;32(2): 124-127.
상부위장관 출혈로 발현된 위매독 1예
이승우·강상범·남순우·송주용·문성진·이동수·이혜경*
가톨릭대학교 의과대학 내과학교실, *임상병리학교실
A Case of Gastric Syphilis Manifested by Upper Gastrointestinal Bleeding
Seung Woo Lee, M.D., Sang Beom Kang, M.D., Soon Woo Nam, M.D., Joo Yong Song, M.D., Sung Jin Moon, M.D., Dong Soo Lee, M.D. and Hye Kyung Lee, M.D.*
Departments of Internal Medicine and *Clinical Pathology, The Catholic University of Korea College of Medicine, Seoul, Korea
Abstract
Syphilis is a chronic systemic infection caused by Treponema pallidum; it is sexually transmitted and characterized by episodes of active disease interrupted by periods of latency. Syphilitic involvement of the stomach can occur via the blood flow in the primary or secondary period of syphilis, but its incidence is very rare. Because gastric syphilis has no pathognomic clinical findings and it shows variable gastroscopic findings, it's not so easy to diagnose. After gastric syphilis is correctly diagnosed, it can be easily cured by appropriate antibiotic therapy. The clinicians need to be aware of this disease entity when the patient has mucosal inflammation and ulceration of stomach with the past history of syphilis, or if the patient has lived in edemic areas of syphilis. We report on a case of gastric syphilis that manifested with upper gastrointestinal bleeding. It was initially thought to be stomach cancer, but it was correctly diagnosed by serologic testing and the histopathologic findings. (Korean J Gastrointest Endosc 2006;32:124⁣127)
Key Words: Gastric syphilis, Upper gastrointestinal bleeding
주요어: 위매독, 상부위장관 출혈
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