Inflammatory Bowel Lesion Associated with Behçet Disease Shigekazu Hayashi 1 , Masanori Esaki 1 , Norio Isoda 1 , Yoji Kojima 1 , Masahiro Yamada 1 1Department of Gastroenterology, Nagoya Ekisaikai Hospital pp.98-104
Published Date 1987/1/25
DOI https://doi.org/10.11477/mf.1403111959
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 A 29 year-old man was admitted to our hospital on February 18, 1981 with chief complaints of right lower abdominal pain and mucous bloody stool. He had acneiform skin eruption on the face and body, aphthous ulcer on the lower lip, painful ulcers on the scrotum, arthralgia on both knees and pyoderma gangreonosum on the left ring finger. Laboratory examinations showed leukocytosis, acceleration of ESR, and strongly positive CRP and the others were almost normal. Tuberculin reaction and serum amebic antibody were negative. Barium enema showed slight narrowing of the lumen, coarse irregular contour, and granular mucosal pattern in the rectum, right side colon and cecum. Colonoscopic picture showed deep ulcers and mucosal bridges in the rectum and multiple ulcers continuously in the right side colon. After medication of salicylazosulfapyridine, decrease of bowel movement, increase of body weight and improvement of ESR were seen, and in barium enema and colonoscopy ulceration was disappeared and only inflammatory polyps and mucosal bridges were shown. This case was incomplete Behçet disease but bowel lesion was slightly different from that of usual intestinal Behçet in Japan. However, as it was not compatible with ulcerative colitis, Crohn's disease and other inflammatory disease, this case was thought to be inflammatory bowel lesion associated with Behçet disease.

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