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Endoscopic Differential Diagnosis of Aphthoid Lesions in the Intestine Masahiro Tada 1 , Kin-ya Fujita 1 , Yoshiyuki Itoh 1 , Mitsushige Shibatohge 1 , Nobuyuki Sugeta 1 1The Second Department of Internal Medicine, Kyoto First Red Cross Hospital 2Department Of Preventove Medicine, Kyoto Prefectural University of Medicine Keyword: アフタ様病変 , Crohn病 , 腸管Behcet病 , 炎症性腸疾患 pp.411-418
Published Date 1993/4/25
DOI https://doi.org/10.11477/mf.1403106141
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 Aphthoid lesions of various inflammatory bowel diseases in the intestine could be endoscopically classified into four groups (group Ⅰ to Ⅳ). Aphthoid lesions were observed in 2.6% of ulcerative colitis, 77.4% of Crohn's disease, 80% of simple ulcer, 20% of Campylobacter enterocolitis, 9.5% of hemorrhagic colitis, 40% of pseudomembranous colitis, and 100% of intestinal Behcet disease, intestinal tuberculosis, amoebic colitis and Yersinia enterocolitis. They were observed both in acute, early or active phase and asymptomatic or recovery phase of the disease. The lesions of Crohn's disease and simple ulcer were resistant to treatments, however, those of the other diseases were cured with treatments. The site of the lesions were characteristic of each disorder. Accordingly, the differential diagnosis of various inflammatory diseases can be made by the shape, site and responsibility to treatments of the aphthoid lesions.


Copyright © 1993, 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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