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KMID : 0388220140210060311
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Journal of the Korean Rheumatism Association
2014 Volume.21 No. 6 p.311 ~ p.313
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A Case of Behcet’s Disease with Both Esophageal and Pharyngeal Ulcers Successfully treated with Steroid and Sulfasalazine
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Yoon Ha-Yong
Cho In-Jin
Lee Hyun
Choi Yun-Jung
Lee Won-Seok
Yoo Wan-Hee
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Abstract
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Behcet’s disease is a heterogeneous disease that involves variable organ systems. Gastrointestinal Behcet’s disease is rare and it generally affects the terminal ileum with propagation toward the cecum and ascending colon. Therefore, esophageal ulcer associated with Behcet’s dis-ease has not been reported frequently. We report an un-usual case of Behcet’s disease associated with both esoph-ageal and pharyngeal ulcers. A 64-year-old man was ad-mitted for an evaluation of pharyngeal and substernal dis-comfort sustained for 3 months. He had no underlying chronic disease; however, he suffered from recurrent oral and genital ulcers for 20 years and had folliculitis-like skin lesions on the face, scalp and trunk. He was diagnosed with Behcet’s disease and gastroesophageal fiberscopy re-vealed deep ulcers on both the pharynx and upper esophagus. Esophagopharyngeal ulcers were successfully treated with prednisolone, colchicines, dapsone, and sulfasalazine.
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KEYWORD
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Esophageal ulcer, Behcet’s disease, Steroid, Sulfasalazine
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