Japanese

Duodenal Mucosal Lesions in Vasculitis Syndrome Yasuharu Okamoto 1 , Motohiro Esaki 2 , Koichi Kurahara 3 , Yumi Oshiro 4 , Keisuke Kawasaki 5 , Yuji Maehata 6 , Junji Umeno 1 , Atsushi Hirano 1 , Yuta Fuyuno 1 , Yoshifumi Hori 7 , Minako Fujiwara 8 , Tomohiko Moriyama 9 , Takehiro Torisu 1 1Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan 2Department of Internal Medicine and Gastrointestinal Endoscopy, Faculty of Medicine, Saga University, Saga, Japan 3Division of Gastroenterology, Matsuyama Red Cross Hospital, Matsuyama, Japan 4Division of Pathology, Matsuyama Red Cross Hospital, Matsuyama, Japan 5Division of Gastroenterology, Department of Internal Medicine, Iwate Medical University, Morioka, Japan 6Maehata Clinic, Kagoshima, Japan 7Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan 8Department of Health Science, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan 9International Medical Department, Kyushu University Hospital, Fukuoka, Japan Keyword: 血管炎 , 膠原病 , 十二指腸病変 , 虚血性変化 , Chapel Hill Consensus Conference 2012 pp.1626-1633
Published Date 2018/11/25
DOI https://doi.org/10.11477/mf.1403201519
  • Abstract
  • Look Inside
  • Reference

 In the present study, we reviewed duodenal mucosal lesions in vasculitis syndrome patients having the following symptoms:immunoglobulin A(IgA)vasculitis, eosinophilic granulomatosis with polyangiitis, granulomatosis with polyangiitis, microscopic polyangiitis, polyarteritis nodosa, and systemic lupus erythematosus. Patients with vasculitis syndrome sometimes manifest duodenal mucosal lesions, along with edema, redness, erosions, and circular or geographic ulcers, visible through esophagogastroduodenoscopy(EGD). Gastrointestinal(GI)involvement is considered a poor prognostic factor for some diseases ; therefore, in the case of duodenal involvement, it is crucial to consider vasculitis syndrome as a differential diagnosis. However, EGD findings vary, and the detection rate of vasculitis syndrome with bioptic examination under EGD is low. Therefore, to confirm the diagnosis of vasculitis syndrome, it is necessary to also consider other clinical manifestations.


Copyright © 2018, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る

文献を共有