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KMID : 0614620100550050331
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Korean Journal of Gastroenterology
2010 Volume.55 No. 5 p.331 ~ p.335
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A Case of Limited Wegener’s Granulomatosis with Gastroenteritis and Mesenteric Lymphadenopathy
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Jeong Yong-Geun
Kim Tae-Hyo
Lee Chang-Min
Shim Ki-Shik
Moon In-Kyu
Lee Sang-Il
Jung Woon-Tae
Lee Ok-Jae
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Abstract
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Wegener’s granulomatosis (WG) is a disease characterized by a granulomatous necrotizing vasculitis of small vessels. Although any organ systems can be involved, gastrointestinal involvement in WG is notably uncommon. We present a case of 67-year-old man who was admitted with abdominal pain and diarrhea lasting for 3 weeks. Colonoscopy and abdominal CT scan revealed vasculitis and multiple mesenteric lymphadenopathy. Jejunum and mesenteric lymph nodes biopsies confirmed limited form of WG. The present case indicates that WG might involve only gastrointestinal tract and the histological confirmation is important for diagnosis.
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KEYWORD
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Wegener’s granulomatosis, Vasculitis, Gastrointestinal tract, Mesenteric lymphadenopathy
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