Korean Journal of Gastrointestinal Endoscopy 1999;19(2): 249-253.
내시경적 조직검사로 진단된 위 분선충증 1 예 (A Case of Gastric Strongyloidiasis Diagnosed by Endoscopic Biopsy)
이석호, 이규택, 이준혁, 이종균, 강인구, 현재근, 이화영, 이풍렬, 김재준, 고광철, 백승운, 이종철, 최규완, 오영륜, 채종일 (Suk Ho Lee, Kyu Taek Lee, Joon Hyoek Lee, Jong Kyun Lee, In Koo Kang, Jae Geun Hyun, Hwa Young Lee, Poong-Lyul Rhee, Jae-Jun Kim, Kwang Cheol Koh, Seung Woon Paik, Jong Chul Rhee, Kyoo Wan Choi, Young Ryun Oh and Jong Il Chae)
Abstract
Korea Strongyloidiasis is a parasitic disease caused by Strongyloides stercoralis which exists in two forms : the free living and parasitic forms. It exists in warm, moist climate in areas where there is frequent fecal contamination of the soil. After cutaneous invasion by the filariform larvae, petechial hemorrage, pruritus, papular rashes, edema, and urticaria occur. Infection commonly occurs in the proximal intestine of the gastrointestinal (G-I) tract but may extend from the stomach to the anus. Once the worm is established in the small intestine, the physical findings may include epigastric tenderness to palpation. The mucosal biopsy is an inefficient way of making the diagnosis because the worm is found in the biopsy specimen in only 2% of patients. Gastric strongyloidiasis is rare. We experienced a case of gastric strongyloidiasis diagnosed by the endoscopic biopsy and serologic test for parasite specific IgG antibody by micro-ELISA. (Korean J Gastrointest Endosc 19: 249 ∼253, 1999)
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