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Japanese

Duodenal Involvement in Patients with Intestinal Behçet's Disease Shunji Shimaoka 1 , Hiroto Nishimata 1 , Yoshito Nishimata 1 1Department of Gastroenterology, Nanpuh Hospital Keyword: Behçet病 , 十二指腸 , 臨床経過 pp.1489-1497
Published Date 2001/11/25
DOI https://doi.org/10.11477/mf.1403103360
  • Abstract
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 Seven cases with intestinal Behçet's disease were examined to study the location, form, and clinical courses of gastrointestinal lesions. Of 7 cases, 3 had erosions in the duodenal bulb, and 1 case had uneven mucosa in the duodenal bulb. Biopsy specimens revealed chronic inflammation with lymphocytic infiltration in the proper lamina. There was no evidence of vasculitis. Antiacid therapy was not effective for erosions, but the erosions were dramatically healed by using steroid therapy. The endoscopic features of the lesions of the duodenum in Behçet's disease were characterized by erosions with almost normal surrounding mucosa, while the surrounding mucosa. of the erosions in ordinary duodenitis usually show friability. Most of the initial symptoms of Intestinal Behçet's disease are lower abdominal pain, hematochezia, and diarrhea, but some patients complain of upper abdominal symptoms. Detailed medical interview and exploration of the intestinal tract, the skin and ocular involvement are needed for patients with esophageal, gastric and duodenal erosions or ulcers whose surrounding mucosa shows little abnormality.


Copyright © 2001, 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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