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一例伴有多种胃肠道表现的白塞病病例。

A case of Behçet's disease with various gastrointestinal findings.

作者信息

Tominaga Kentaro, Kamimura Kenya, Takahashi Kazuya, Yokoyama Junji, Terai Shuji

机构信息

Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, 1-757 Asahimachi-Dori, Chuo-Ku, Niigata, 9518510, Japan.

出版信息

Clin J Gastroenterol. 2018 Oct;11(5):354-358. doi: 10.1007/s12328-018-0860-6. Epub 2018 Apr 17.

Abstract

Behçet's disease (BD) is a systemic inflammatory disorder involving the oral and genital mucosa, skin, eyes, gastrointestinal tract, joints, vasculature, and nervous. The gastrointestinal lesions accompanying with BD can extend along the full length of the tract, from the mouth to the anus, and show various clinical characteristics which is difficult to be differentiate from the other inflammatory bowel diseases including ulcerative colitis and Crohn's disease. Hence, the differential diagnosis is difficult and can affect treatment outcomes. We report here, a BD case showing varied gastrointestinal lesions and endoscopic findings. The information, endoscopic findings, differential diagnosis, and treatment approach in this case might help physicians to distinguish from other diseases and to manage similar cases.

摘要

白塞病(BD)是一种全身性炎症性疾病,累及口腔和生殖器黏膜、皮肤、眼睛、胃肠道、关节、血管和神经系统。与白塞病相关的胃肠道病变可沿消化道全长延伸,从口腔至肛门,并表现出各种临床特征,难以与包括溃疡性结肠炎和克罗恩病在内的其他炎症性肠病相鉴别。因此,鉴别诊断困难,且可能影响治疗效果。我们在此报告一例表现出多种胃肠道病变和内镜检查结果的白塞病病例。该病例的信息、内镜检查结果、鉴别诊断及治疗方法可能有助于医生与其他疾病相鉴别,并处理类似病例。

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