Korean Journal of Gastrointestinal Endoscopy 1999;19(6): 967-970.
십이지장 궤양을 동반한 베체트 증후군 1예 ( A Case of Behcet s Disease Accompanied with a Duodenal Ulcer )
김우석(Woo Soeg Kim),이기섭(Ki Seob Lee),여운철(Yun Chul Yie),김병일(Byung Il Kim),임홍섭(Hong Seob Im),홍종민(Jong Min Hong),이재갑(Jae Kap Lee),이명래(Myung Rae Lee),이정호(Jung Ho Lee),변동일(Dong Il Byun)
Abstract
Behcet's disease is a recurrent and multisystemic disorder which usually persists over many years. In 1937 Behcet described a chronic relapsing triple symptom complex of recurrent oral ulceration, genital ulceration and ocular inflammation. Other manifestations of the syndrome include arthritis, cutaneous vasculitis, thrombophlebitis, epididymitis, ulcers of gastrointestinal tract and meningoencephalitis. Recently, a case was experienced involving intestinal Behcet's syndrome with duodenal ulcer bleeding. A 32-year-old male patient was admitted due to hematemesis, and epigastric pain. The patient had ulcers on the oral mucosa, soft palate, external genitalia, and anus. An irregularly marginated ulcer with bleeding was found on the anterior of the duodenal bulb through esophago- gastroduodenoscopic examination. The patient was diagnosed with Behcet's disease and was treated with steroids. In this paper, the case of duodenal bulb involvement of Behcet's disease is reported with a review of relevant literature. (Korean J Gastrointest Endosc 19: 967∼970, 1999)
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