与白塞病相关的罕见食管溃疡：一例报告。
Rare esophageal ulcers related to Behçet disease: A case report.
作者信息
Jia Ning, Tang Yanping, Liu Huayi, Li Yang, Liu Simiao, Liu Lei
机构信息
Department of gastroenterology, Tianjin Hospital of Integrated Traditional Chinese and Western Medicine Department of Spleen and Stomach, Tianjin Academy of Traditional Chinese Medicine Affiliated Hospitial Department of Diabetes, Tianjin Nankai District Hospital of traditional Chinese medicine, Tianjin, China.
出版信息
Medicine (Baltimore). 2017 Nov;96(44):e8469. doi: 10.1097/MD.0000000000008469.
RATIONALE
The fundamental pathogenesis of Behçet disease (BD) is still unclear and controversial. Many cases of oral aphthous ulcers and genital ulcers related to BD are reported; nevertheless, idiopathic giant esophageal ulcers related to BD are rare. A rare case for esophageal ulcers related to BD is presented.
PATIENT CONCERNS
In China, BD is represented with esophageal involvement which is called esophageal BD (EBD).
DIAGNOSES
A 56-year-old man diagnosed to the Gastroenterology Department of Integrated Traditional Chinese and Western Medicine Hospital, for multiple discrete, elliptical esophageal ulcers related to BD.
INTERVENTIONS
The esophageal ulcers were treated with corticosteroid treatment for 12 weeks.
OUTCOME
The esophageal ulcers were cured.
LESSONS
Our report might give further strength to avoiding the erroneous diagnosis or missed diagnosis for EBD, which is different from esophageal carcinoma, esophageal tuberculosis and esophageal Crohns disease.
理论依据
白塞病（BD）的基本发病机制仍不清楚且存在争议。有许多与BD相关的口腔阿弗他溃疡和生殖器溃疡的病例报道；然而，与BD相关的特发性巨大食管溃疡却很罕见。本文介绍了一例与BD相关的食管溃疡罕见病例。
患者情况
在中国，BD表现为食管受累，称为食管白塞病（EBD）。
诊断
一名56岁男性因多个散在的、椭圆形的与BD相关的食管溃疡被诊断至中西医结合医院消化内科。
干预措施
食管溃疡接受了12周的皮质类固醇治疗。
结果
食管溃疡治愈。
经验教训
我们的报告可能会进一步有力地避免对EBD的误诊或漏诊，EBD与食管癌、食管结核和食管克罗恩病不同。
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