A Case Report of Esophageal and Ileocecal Valve Involvement in Behcet's Disease.
- Author:
Geon Young CHA
1
;
Sang Hoon HAN
;
Jae Hwa JUNG
;
Eui Won HWANG
;
Eun Joo KIM
;
Il Kwun CHUNG
;
Hong Soo KIM
;
Sang Heum PARK
;
Moon Ho LEE
;
Sun Joo KIM
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Soon Chun Hyang University, College of Medicine, Chonan Hospital, Chonan, Korea. erysium@hanmail.net
- Publication Type:Case Report
- Keywords:
Behcet's disease;
Esophageal and ileocecal ulcer
- MeSH:
Biopsy;
Cecum;
Deglutition Disorders;
Endoscopy;
Esophagus;
Exudates and Transudates;
Gastrointestinal Tract;
Humans;
Ileocecal Valve*;
Ileum;
Inflammation;
Male;
Mucous Membrane;
Stomatitis, Aphthous;
Ulcer;
Young Adult
- From:Korean Journal of Gastrointestinal Endoscopy
2001;23(3):169-173
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Behcet's disease characterized by recurrent oral and genital ulceration and ocular inflammation has been recognized as a multi-system disorder with numerous manifestations including gastrointestinal tract. Terminal ileum and cecum are the most frequently involved portions of the gastrointestinal tract in Behcet's disease and esophageal involvement is very uncommon. We experienced a case of Behcet's disease involved esophageal and ileocecal region which had been diagnosed by endoscopy. A 20-year-old male was admitted by dysphagia and substernal discomfort. There was a history of recurrent aphthous stomatitis and genital ulcers. The large geographic ulcers surrounded with edematous mucosa were found at mid esophagus and the huge ulcer with exudate was noted on ileocecal valve area in endoscopic examination. The microscopic finding of endoscopic biopsy showed chronic nonspecific inflammation with necrotic inflammatory exudate. Pathergy test was positive. So he was diagnosed as Behcet's disease, and his symptoms and signs were resolved after steroid treatment.
