Korean J Gastrointest Endosc.  1999 Apr;19(2):242-248.

A Case of Multiple Esophageal Ulcerations in Behcet's Disease

Affiliations
  • 1Department of Internal Medicine, College of Medicine, University of Seonam, Kwangju, Korea.

Abstract

The diagnostic criteria of Behcet' s disease - which requires the presence of recurrent oral ulceration plus any two of recurrent genital ulceration, typical defined eye lesions, typical defined skin lesions or a positive pathergy test - was proposed by the International Study Group for Behcet' s Disease (ISGBD). Intestinal Behcet' s disease most commonly affects the ileocecal region, but esophageal involvement of Behcet' s disease is rare, only 8 cases have previously been reported in Korea. A 23-year old female who had a 10-year history of recurrent oral and genital ulcer and recurrent erythematous skin eruption, was admitted to our hospital because of dysphagia and substernal pain. Endoscopic exami-nation showed multiple small sized ulcers on oral cavity and two diffuse deep ulcers surrounded with irregularly nodular and hyperemic edematous mucosa at distal esophagus. The pathologic finding was subepithelial accumulation of chronic inflammatory cells, especially around the vessels. So she was treated with steroid under the diagnosis of esophageal involvement of Behcet' s disease. She has been followed in improvement status without recurrence.

Keyword

Behcet' s disease; Multiple esophageal ulcers

MeSH Terms

Deglutition Disorders
Diagnosis
Esophagus
Female
Humans
Korea
Mouth
Mucous Membrane
Oral Ulcer
Recurrence
Skin
Ulcer*
Young Adult
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