Korean J Gastrointest Endosc > Volume 32(5); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;32(5): 342-346.
진행성 위암으로 오인된 매독양 위궤양
지정훈·박영수*·김나영*·이동호*·정현채·송인성·이혜승
서울대학교 의과대학 내과학교실, 간연구소, 분당서울대학교병원 *내과, 병리학과
A Case of Gastric Syphilis Mimicking Advanced Gastric Cancer
Jeong Hoon Ji, M.D., Young Soo Park, M.D.*, Nayoung Kim, M.D.*, Dong Ho Lee, M.D.*, Hyun Chae Jung, M.D., In Sung Song, M.D. and Hye Seung Lee, M.D.
Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Departments of *Internal Medicine and Pathology, Seoul National University Bundang Hospital, Seongnam, Korea
Abstract
Gastric syphilis has been reported to be relatively rare due to the difficulty in making a histological diagnosis. However if a serologic test for syphilis is positive and the ulcer regresses after anti-syphilitic treatment, it can be assumed that the gastritis was caused by Treponema Pallidum. The clinical diagnosis of gastric syphilis ranges from a benign ulcer to mimicking an infiltrative carcinoma or lymphoma. We encountered a 21-year-old woman who was referred for linitis plastica with epigastric pain and weight loss. The gastroduodenoscopy revealed multiple irregular gastric mucopurulent shallow ulceration and several nodular lesions mimicking linitis plastica. The appropriate antibiotic treatment resulted in a dramatic improvement and a complete reversal of gastric lesions. This recent case of gastric syphilis emphasizes the importance of remaining alert to the manifestations of syphilis. (Korean J Gastrointest Endosc 2006;32:342⁣346)
Key Words: Gastric syphilis, Treponema Pallidum, Linitis plastica
주요어: 위매독, 매독균, 경성위암
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