A Case of Intestinal Behcet's Disease Similar to Crohn's Colitis.
10.3346/jkms.2007.22.5.918
- Author:
Eun Sun KIM
1
;
Woo Chul CHUNG
;
Kang Moon LEE
;
Bo In LEE
;
Hwang CHOI
;
Sok Won HAN
;
Kyu Yong CHOI
;
In Sik CHUNG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Suwon, Korea. jwchulkr@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Behcet Syndrome;
Crohn Disease;
Colonoscopy
- MeSH:
Adult;
Behcet Syndrome/diagnosis/*therapy;
Colitis;
Colonoscopy;
Crohn Disease/diagnosis/*therapy;
Female;
Humans;
Inflammation;
Inflammatory Bowel Diseases/pathology;
Intestinal Diseases/diagnosis/*therapy;
Perineum/pathology;
Ulcer;
Vulva/pathology
- From:Journal of Korean Medical Science
2007;22(5):918-922
- CountryRepublic of Korea
- Language:English
-
Abstract:
Behcet's disease is a multi-systemic vasculitis and characterized by systemic organ involvement. Although the gastrointestinal and systemic features of Behcet's disease and inflammatory bowel disease overlap to a considerable extent, they are generally viewed as two distinct diseases. A 39-yr-old female was diagnosed as having Behcet's disease. She was admitted to our hospital because of oral and genital ulcer, lower abdominal pain, and frequent diarrhea. Colonosopy showed diffuse involvement of multiple longitudinal ulcers with inflammatory pseudopolyps with a cobblestone appearance and ano-rectal fistula was suspected. These findings are extremely rare in Behcet's disease. However, there were no granulomas, the hallmark of Crohn's colitis. Microscopically, perivasculitis and multiple lymph follicles compatible with Behcet's disease were seen. Although being rarely encountered, multiple longitudinal ulcers, cobblestone appearance, and ano-rectal fistula can develop in Behcet's disease, as in Crohn's colitis. Therefore, Behcet's disease and Crohn's disease may be closely related and part of a spectrum of disease.
