A Case Report of Esophageal Involvement in Behcets Disease.
- Author:
Cheol Hyeun JO
1
;
Weon Yuong KIM
;
Seung Oeuk LEE
;
Bong Han YEUN
;
Kwang Hyeun KIM
;
Myuong Weon KANG
;
Yeun Keun LIM
;
Hyang Soon YEO
;
Kyung Soo KIM
Author Information
1. Department of Internal Medicine and 1Anatomical Pathology, Kwangju Christian Hospital, Kwangju, Korea.
- Publication Type:Case Report
- Keywords:
Behcet's disease;
Esophageal ulcer
- MeSH:
Deglutition Disorders;
Esophagus;
Fever;
Genitalia;
Humans;
Mouth Mucosa;
Mucous Membrane;
Oral Ulcer;
Palate, Soft;
Stomach;
Sulfasalazine;
Ulcer;
Uveitis;
Vasculitis;
Vulva
- From:Korean Journal of Gastrointestinal Endoscopy
1998;18(2):197-201
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Behcet's disease is a recurrent and multisystemic disorder which usually persists over many years and is classified under vasculitic syndrome. A classic triad in this disorder is composed of a recurrent oral ulcer, genital ulceration and uveitis. While intestinal Behcet's disease most commonly affects the ileoecal region, dysphagia associated with esophageal ulceration is very uncommon. A 34-year-old-female patient visited our hospital because of dysphagia, epigastric pain and fever. The patient had ulcers on the oral mucosa, soft palate and extemal genitalia. Multiple irregularly marginated ulcers surrounded with hyperemic edematous mucosa were found on the middle and distal esophagus and lesser curvature of the stomach by an esophagogastroduodenoscopic examination. The pathologic findings were non-specific ulcers with necrotizing vasculitis in the vulva and with suspicious vasculitis in the esophagus. So she was diagnosed to have a Behcets disease and was treated with steroid and sulfasalazine. In this study we report a case of esophageal involvement of Behcet's disease with a review of the literature.
