Korean J Gastrointest Endosc > Volume 37(1); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(1): 45-50.
내시경검사로 진단한 칸디다를 동반한 십이지장 아밀로이드증 1예
김선영ㆍ전태주ㆍ서지영ㆍ김민근ㆍ오태훈ㆍ서동대ㆍ최원충ㆍ신원창
인제대학교 의과대학 상계백병원 내과학교실
A Case of Duodenal Amyloidosis Accompanied with Candidiasis that was Diagnosed by Endoscopy
Sun-Young Kim, M.D., Tae Joo Jeon, M.D., Ji Young Seo, M.D., Min-Geun Kim, M.D., Tae-Hoon Oh, M.D., Dong Dae Seo, M.D., Won-Choong Choi, M.D. and Won Chang Shin, M.D.
Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea
Abstract
This report describes a case of a 63-year-old female who suffered from gastrointestinal amyloidosis. The patient presented with abdominal pain, nausea, vomiting and watery diarrhea for a week. Previously, the patient had been treated for rheumatoid arthritis. Endoscopy showed the presence of erythematous mucosa and yellowish exudates in the bulb, a finding that was compatible with duodenal candidiasis. Colonoscopy showed diffuse erythematous and easy friability in the entire colon, a finding suggestive of infectious colitis. The pathology report indicated that the lesion had amyloid, which was stained by Congo red. Endoscopic findings of amyloidosis are non-specific, such as friable mucosa, granulation, polyp, erosion and ulceration. Therefore, it is difficult to diagnose amyloidosis with endoscopic findings. However, if the patient has risk factors of secondary amyloidosis such as rheumatoid arthritis, gastrointestinal amyloidosis based on the endoscopic finding should be considered. We report a case of duodenal amyloidosis accompanied with candidiasis, which has not been previously reported. (Korean J Gastrointest Endosc 2008;37:45-50)
Key Words: Duodenal candidiasis, Amyloidosis, Duodenal amyloidosis
주요어: 십이지장 칸디다증, 십이지장 아밀로이드증
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