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Syphilitic Gastroenteritis; Certification of the Disease Entity Hiroyuki Kobayashi 1 , Tadahiko Fuchigami 1 , Akinori Iwashita 2 , Noriko Fukushima 3 , Tsuneyoshi Yao 4 1Institute of Gastroenterology, Matsuyama Red Cross Hospital 2Department of Pathology, Fukuoka University Chikushi Hospital 3Department of Pathology, Fraternity Memorial Hospital 4Department of Internal Medicine, University Chikushi Hospital Keyword: 梅毒性胃腸炎 , 胃梅毒 , 直腸梅毒 pp.802-807
Published Date 1991/7/25
DOI https://doi.org/10.11477/mf.1403102587
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 We experienced four patients with gastric syphilis in the secondary stage with characteristic irregular-shaped ulcerative lesions in the pyloric antrum (Fig. 1, 2, 5, 6). Before starting anti-syphilitic treatment, all patients underwent colonofiberscopy, which revealed a large verruciform lesion in the rectum in a patient (Fig. 3a) and lymphoid hyperplasia-like lesions in the caecum in another patient (Fig. 7).

 We diagnosed these colonic mucosal lesions as syphilitic, because Treponema pallidum was confirmed by immunohistochemical staining (ABC method) in both specimens obtained from the rectal (Fig. 4b) and caecal lesions (Fig. 96) and these lesions disappeared with antisyphilitic therapy. Based on these results, we considered that gastric syphilis and rectal syphilis are not separate disease entities and that each lesion represents a part of what is termed as syphilitic gastroenteritis.


Copyright © 1991, 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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