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Crohn's Disease with Only Aphthoid Lesions Which Persisted Unchanged for a Long Period, Report of a Case Hirotomo Ootsuka 1 , Akitada Iso 1 , Seiji Shimizu 1 , Masahiro Tada 1 , Keiichi Kawai 2 1Department of Gastroenterology, Kyoto First Red Cross Hospital 2Department of Preventive Medicine, Kyoto Prefectural University of Medicine Keyword: Crohn病 , アフタ様病変 pp.557-560
Published Date 1994/5/25
DOI https://doi.org/10.11477/mf.1403105800
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 A 15-year-old male patient visited our hospital complaining of loose stool. Radiological and endoscopic examinations disclosed multiple aphthoid lesions from the rectum to the descending colon, on the ileocecal valve and in the ileum. Since infectious causes were disproved and biopsy revealed the presence of non-caseating granulomas, this case was diagnosed as Crohn's disease with only aphthoid lesions involving both small and large intestine. Defined formula diet was administered for two years, but the lesions were unchanged. Accordingly, steroid therapy was also started. As a result, clinical symptoms ameliorated, however, the aphthoid lesions persisted unchanged for the total follow-up period of over three and a half years. Reports of similar cases are rare, and this case was considered important in speculating the natural course of Crohn's disease.


Copyright © 1994, 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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