Korean Journal of Gastrointestinal Endoscopy 1998;18(2): 197-201.
증례 : 식도 위장관 ; 식도 궤양을 동반한 Behcet 병 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case Report of Esophageal Involvement in Behcets Disease )
조철현, 김원영, 이승욱, 윤봉한, 김광현, 강명원, 임연근, 여향순, 김경수 (Cheol Hyeun Jo, Weon Yuong Kim, Seung Oeuk Lee, Bong Han Yeun, Kwang Hyeun Kim, Myuong Weon Kang, Yeun Keun Lim, Hyang Soon Yeo and Kyung Soo Kim)
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. (Korean J Gastrointest Endosc 18: 197- 201, 1998)
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