Philipper M, Schumacher B, Donner A, Neuhaus H
Medizinische Klinik, Evangelisches Krankenhaus Düsseldorf.
Z Gastroenterol. 2004 Aug;42(8):743-7. doi: 10.1055/s-2004-813240.
A case of a 32-year-old male patient with lower gastrointestinal bleeding is reported as an initial manifestation of Behçet's disease. The early diagnosis of this chronic-systemic disease is often very difficult, in particular with regard to the differentiation from chronic inflammatory bowel diseases. In addition, lower gastrointestinal bleeding is a rare manifestation of Behçet's disease. An immunosuppressive therapy was initiated and the course of the disease with recurrent oral ulcerations gave evidence for the diagnosis. Further bleeding episodes or other gastrointestinal symptoms have not been observed during a follow-up period of 36 months. The diagnostic problems and the therapeutic management of the disease are discussed in relation to neighbouring entities.
报告了一例32岁男性患者，以胃肠道出血为白塞病的首发表现。这种慢性全身性疾病的早期诊断通常非常困难，尤其是与慢性炎症性肠病的鉴别。此外，胃肠道出血是白塞病的一种罕见表现。开始了免疫抑制治疗，疾病过程中反复出现口腔溃疡为诊断提供了依据。在36个月的随访期内未观察到进一步的出血发作或其他胃肠道症状。结合相关疾病讨论了该疾病的诊断问题和治疗管理。
