ESOPHAGEAL INVOLVEMENT IN BEHCETS-SYNDROME
ESOPHAGEAL INVOLVEMENT IN BEHCETS-SYNDROME
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DOI：
10.1097/00004836-198610000-00004
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发表时间：
1986-10-01
影响因子：
2.9
通讯作者：
FEDELI, G
中科院分区：
文献类型：
--
作者：
ANTI, M;MARRA, G;FEDELI, G
2例白塞综合征患者有严重的食管受累。两者都表现出白塞综合征的完整临床模式（口腔、生殖器和眼部病变）。在这两个，食管病变与其他胃肠道表现，在第一个短暂发作的溃疡性回肠炎，在第二个病人结肠炎。在这两种情况下，与炎症性肠病的鉴别诊断非常困难。食管病变的组织学无特异性，未发现血管炎。两例患者均经类固醇治疗后好转。食管病变也改善内镜和组织学类固醇治疗。当白塞综合征有明显的胃肠道受累时，与炎症性肠病的鉴别诊断非常困难。
Two patients with Behçet's syndrome had severe esophageal involvement. Both presented the complete clinical pattern (oral, genital, and eye lesions) of Behcet's syndrome. In both, esophageal lesions were associated with other gastrointestinal manifestations, in the first a transient episode of ulcerative ileitis, and in the second patient colitis. In both, the differential diagnosis with inflammatory bowel disease was very difficult. Histology of esophageal lesions was nonspecific; no vasculitis was found. Both patients improved on steroid therapy. Esophageal lesions also improved endoscopically and histo-logically with steroid therapy. When there is obvious gastrointestinal involvement in Behcet's syndrome, the differential diagnosis from inflammatory bowel disease is very difficult.