Behçet's Disease with Esophageal Ulcers, Report of a Case Yoshiyuki Itoh 1 , Seiji Shimizu 1 , Masahiro Tada 1 1Department of Gastroenterology, Kyoto First Red Cross Hospital Keyword: Behçet病 , 食道潰癌 , colchicine pp.1413-1416
Published Date 1994/12/25
DOI https://doi.org/10.11477/mf.1403106021
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 A 56-year-old woman visited to our hospital complaining of retrosternal pain. During the preceeding six years, she had experienced recurrences of oral and genital ulcers.

 Laboratory examinations disclosed an accelerated ESR, positive C-reactive protein and leukocytosis.

 Upper gastrointestinal (GI) endoscopy revealed three oval-shaped, shallow ulcers in the middle esophagus and E-G junction. Investigation of the lower GI tract revealed aphtoid ulcers in the terminal ileum and the diagnosis of Behget's disease was confirmed. Esophageal ulcers were considered as an esophageal involvement of Behçet's disease. Esophageal lesions were refractory to treatment with H2 receptor antagonist. Instead, oral administration of colchicine (1mg/day) was effective.

 We reported a case of Behçet's disease with esophageal ulcers in which colchicine was effective.

Copyright © 1994, Igaku-Shoin Ltd. All rights reserved.


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