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KMID : 0614620120590010044
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Korean Journal of Gastroenterology
2012 Volume.59 No. 1 p.44 ~ p.47
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A Case of Primary Colon Amyloidosis Presenting as Hematochezia
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Kwon Yong-Hwan
Kim Ji-Yeon
Kim Ji-Hun
Park Hyun-Woo
Yang Hae-Min
Jeon Seong-Woo
Kim Sung-Kook
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Abstract
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intestinal track, provokes a dysfunction of the organ, due to an accumulation of fibrils, and causes a variety of clinical symptoms and endoscopic findings. Primary amyloidosis in the gastrointestinal tract is rarely reported in Korea. We experienced a case of recurrent intestinal bleeding, in a 59-year-old female patient with primary amyloidosis. A colonoscopy revealed the presence of multiple large circular ulcers. In the entire colon, diffuse nodular lesions with edema and bleeding were found. A colonoscopic biopsy established the diagnosis of amyloidosis, to the exclusion of other disease components. We concluded that the patient had localized amyloidosis. Though a definitive therapeutic strategy has not been established for localized gastrointestinal amyloidosis, the patient has been successfully treated with a high-dose of steroids and azathioprine.
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KEYWORD
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Amyloidosis, Gastrointestinal hemorrhage, Colon
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