소장에 국한된 결절성 다발성 동맥염 1예 |
임병훈ㆍ장지선ㆍ김정원*ㆍ장세진†ㆍ김성훈ㆍ방제소ㆍ양수현ㆍ변종훈 |
서울보훈병원 소화기내과, *한림대학교 의과대학 강남성심병원 병리학교실, †울산대학교 의과대학 서울아산병원 병리학교실 |
Polyarteritis Nodosa Localized in Small Intestine: A Case Report |
Byung Hoon Lim, M.D., Ji Sun Jang, M.D., Jung Won Kim, M.D.*, Se Jin Jang, M.D.†, Sung Hoon Kim, M.D., Jei So Bang, M.D., Soo Hyun Yang, M.D. and Jong Hoon Byun, M.D. |
Department of Internal Medicine, Seoul Veterans Hospital, Department of Pathology, *Hallym University Medical Center, Hallym University College of Medicine, †Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea |
|
|
Abstract |
|
Polyarteritis nodosa is a systemic necrotizing vasculitis that affects mainly small and medium-sized arteries that involve multiple organs. In addition to the systemic involvement of classical vasculitis, localized vasculitis involves blood vessels within a confined vascular distribution or single organ without clinical evidence of generalized inflammation. Localized vasculitis of the gastrointestinal tract is a rare entity. In particular, a limited involvement of the small bowel is an unusual manifestation of polyarteritis nodosa. In this report, we describe a case of biopsy-proven polyarteritis nodosa presenting as small bowel bleeding without other systemic manifestations. (Korean J Gastrointest Endosc 2010;41:113-117) |
Key Words:
Polyarteritis nodosa, Localized vasculitis, Small bowel |
주요어:
결절성 다발성 동맥염, 국소성 혈관염, 소장 |
|
|