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©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Apr 28, 2006; 12(16): 2622-2624
Published online Apr 28, 2006. doi: 10.3748/wjg.v12.i16.2622
Published online Apr 28, 2006. doi: 10.3748/wjg.v12.i16.2622
Intestinal Behcet’s disease with esophageal ulcers and colonic longitudinal ulcers
Soichiro Fujiwara, Momoko Ishikawa, Kohzo Uehara, Hirofumi Yamamoto, Michiyo Okazaki, Takahiro Horie, Arata Iuchi, Department of Internal Medicine, Miyoshi Prefectural Hospital, Tokushima, Japan
Ichiro Shimizu, Susumu Ito, Department of Digestive and Cardiovascular Medicine, Tokushima University Graduate School of Medicine, Tokushima, Japan
Author contributions: All authors contributed equally to the work.
Correspondence to: Ichiro Shimizu, MD, Department of Digestive and Cardiovascular Medicine, Tokushima University Graduate School of Medicine, Kuramoto-cho, Tokushima 770-8503, Japan. shimizui@clin.med.tokushima-u.ac.jp
Telephone: +81-88-6337124 Fax: +81-88-6339235
Received: September 13, 2005
Revised: January 8, 2006
Accepted: January 14, 2006
Published online: April 28, 2006
Revised: January 8, 2006
Accepted: January 14, 2006
Published online: April 28, 2006
Abstract
Intestinal Behcet’s disease in a 38-year-old woman was diagnosed because of the history of recurrent oral aphthous ulcers, erythema nodosum-like eruptions, genital ulcer, and endoscopic findings of esophageal and ileocolonic punched-out ulcers with colonic longitudinal ulcers. Esophageal lesions and colonic longitudinal ulcers are rarely seen in intestinal Behcet’s disease. The ulcers of esophagus and ileocolon healed with 3 wk of treatment with prednisolone and mesalazine without any adverse effect. Mesalazine may decrease the total dose of prednisolone required to treat the disease.