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Intestinal Behçet's Disease and Simple Ulcers Differential Diagnosis from Other Inflammatory Bowel Disease Kiyonori Kobayashi 1 , Miyuki Mukae 1 , Taishi Ogawa 1 , Kaoru Yokoyama 1 , Miwa Sada 1 , Wasaburo Koizumi 1 1Department of Gastroenterology, Kitasato University East Hospital, Sagamihara, Japan Keyword: 腸管Behçet病 , 単純性潰瘍 , 鑑別診断 , 炎症性腸疾患 pp.1023-1031
Published Date 2011/6/25
DOI https://doi.org/10.11477/mf.1403102274
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 BD(intestinal Behçet's disease)and SU(simple ulcers)are usually characterized by well-demarcated, punched-out, deep ulcers in the ileocecal region. In both diseases, however, atypical lesions may develop in parts of the gastrointestinal tract other than the ileocecal region. We found ulcers and aphthoid erosions arose mainly in the colon in 14(37%)of 38 patients. The incidence of such lesions was particularly high in patients with BD. Two patients with BD had multiple deep ulcers occurring extensively in the colon, with no typical lesions. These atypical lesions were distributed in a scattered fashion, with no regular pattern, such as a trend toward vertical alignment. BD associated with only atypical lesions and lacking typical lesions must be differentially diagnosed from other inflammatory intestinal diseases such as Crohn's disease, NSAID(nonsteroidal anti-inflammatory drug)-induced bowel lesions, and nonspecific multiple ulcers of the small intestine. Differential diagnosis should be based on a comprehensive evaluation of the shape and distribution of ulcers, upper gastrointestinal lesions, and histopathological findings, as well as the medical history and clinical symptoms.


Copyright © 2011, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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