Clinical Picture and Course of Behçet's Disease and Simple Ulcer: Concerning the Difference Between the Disorders Masahiro Tada 1 , Junko Sobajima 1 , Seiji Shimizu 1 , Masako Okamura 1 , Yoshiyuki Ito 1 1The Second Department of Internal Medicine, Kyoto First Red Cross Hospital Keyword: 単純性潰瘍 , 腸型Behçet病 , Behçet症候群 pp.313-318
Published Date 1992/3/25
DOI https://doi.org/10.11477/mf.1403106754
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 To elucidate the differences among simple ulcer, intestlnal Behçet and complete Behçet's syndrome, the clinical pictures and courses were compared. The whole gastrointestinal tract was examined by x-ray and/or endoscopy during symptomatic phase to reveal the distribution of gastrointestinal tract involvement. In simple ulcer, ulcerative lesions were often observed in the ileocecal region, and around the stoma in operated cases. In intestinal Behçet, undermining ulcers were observed in the ileocecal region. However, small erosions and aphthoid ulcers were, even if transient, often observed in the gastrointestinal tract other than the esophagus. In complete Behçet's syndrome, small erosions were observed in the duodenum and jejunum. However, ulcerative lesions were not observed in the ileocecal region.

 During the long-term follow-up of the cases with simple ulcer and intestinal Behçet, complete Behçet's syndrome was not manifested in any case. Transition between the three entities was not observed. Accordingly, the theory cannot be supported that the three disorders are the same.

Copyright © 1992, Igaku-Shoin Ltd. All rights reserved.


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