Thach B T, Cummings N A
Arch Intern Med. 1976 Jun;136(6):705-9.
A 46-year-old man with Behçet syndrome and a long history of recurrent bouts of colitis was studied by sigmoidoscopy, barium enema x-ray film, and colon biopsy. A nonspecific colitis characterized by shallow mucosal ulcerations and submucosal mononuclear infiltration in the absence of meaningful roentgenolographic changes was seen. A histopathological comparison was made between the oral and colonic lesions. The aphthous colitis appears, therefore, to be a colonic manifestation of Behçet syndrome, differing from typical chronic nonspecific ulcerative colitis in terms of clinical course, severity, and histologic appearance. The simultaneous occurrence of Behçet syndrome and inflammatory disease of the colon was discussed in terms of the differential diagnosis of colitis.
一名患有白塞病且有长期复发性结肠炎病史的46岁男性接受了乙状结肠镜检查、钡灌肠X线片检查和结肠活检。结果发现了一种非特异性结肠炎，其特征为黏膜浅层溃疡和黏膜下单核细胞浸润，而X线检查未发现明显异常。对口腔和结肠病变进行了组织病理学比较。因此，口疮性结肠炎似乎是白塞病的结肠表现，在临床病程、严重程度和组织学表现方面与典型的慢性非特异性溃疡性结肠炎不同。本文从结肠炎的鉴别诊断角度讨论了白塞病与结肠炎症性疾病的同时发生情况。
