| 장기간 숯 섭취 후 발생한 회장 흑색증 2예 |
| 김명석ㆍ박용범ㆍ하병화ㆍ정대영ㆍ김진일ㆍ조세현ㆍ박수헌ㆍ김재광 |
| 가톨릭대학교 의과대학 내과학교실 |
| Two Cases of Melanosis Ilei Developed after Long-standing Charcoal Ingestion |
| Myung Suk Kim, M.D., Yong Bum Park, M.D., Byeong Wha Ha, M.D., Dae Young Cheung, M.D., Jin Il Kim, M.D., Se Hyun Cho, M.D., Soo-Heon Park, M.D. and Jae Kwang Kim, M.D. |
| Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea |
|
|
|
|
| Abstract |
|
|
Melanosis ilei is an extremely rare condition in which black pigment, consisted of aluminum, magnesium, or silicon, accumulate in the terminal ileal mucosa. Medical treatment with charcoal enhances the neutralization of the toxic material and elimination of many drugs. In addition, it has been used as a traditional remedy in some oriental countries to relieve chronic diarrhea, abdominal pain, or acute enterocolitis, which is made up carbon, oxygen, aluminum, magnesium, silicon, calcium, and palladium. Two patients taking the charcoal for a long time underwent a colonoscopy to evaluate chronic diarrhea or abdominal pain. The colonoscopy revealed a normal colonic mucosa and multiple geographic black-pigmented mucosal changes at the terminal ileum. Therefore, it was assumed that melanosis ilei can develop in patients with long-standing charcoal ingestion. To the best of our knowledge, this is the first case of melanosis ilei associated with the ingestion of charcoal. (Korean J Gastrointest Endosc 2008;36:36-39) |
| Key Words:
Melanosis, Ileum, Charcoal |
| 주요어:
흑색증, 회장, 숯 |
|
|
PDF Links
Full text via DOI 
Download Citation 
