Korean J Gastrointest Endosc > Volume 36(4); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(4): 233-237.
반복적 혈변을 주소로 하는 아밀로이드증 1예
문송미ㆍ이창균ㆍ장재영ㆍ동석호ㆍ김병호ㆍ장영운ㆍ장린ㆍ김효종
경희대학교 의과대학 내과학교실
A Case of Amyloidosis with Recurrent Intestinal Bleeding
Song Mi Moon, M.D., Chang Kyun Lee, M.D., Jae Young Jang, M.D., Seok Ho Dong, M.D., Byung Ho Kim, M.D., Young Woon Chang, M.D., Rin Chang, M.D. and Hyo Jong Kim, M.D.
Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea
Abstract
Amyloidosis is characterized by deposition of amyloid in the intercellular space and vascular wall. Amyloid deposition provokes dysfunction of the accumulated organ and causes variable clinical symptoms that depend on the involved organ. Although intestinal bleeding may occur with amyloidosis, it is relatively rare as a presenting symptom or as the sole manifestation of the disease. We experienced a case of recurrent intestinal bleeding in a 68-year-old female patient with lambda type primary amyloidosis. A colonoscopy revealed the presence of multiple large circular ulcers in the transverse colon and nonspecific submucosal hemorrhage and edema at the rectum. An endoscopic biopsy established the diagnosis of amyloidosis. A case of recurrent intestinal bleeding in a patient with primary amyloidosis is presented, with a review of the literature. (Korean J Gastrointest Endosc 2008;36:233-237)
Key Words: Amyloidosis, Intestinal hemorrhage, Colonoscopy
주요어: 아밀로이드증, 혈변, 대장내시경검사
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