Intestinal Involvement in Wegeners Granulomatosis Diagnosed and Followed up by Double Balloon Enteroscopy
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概要
- 論文の詳細を見る
Wegeners granulomatosis (WG) is a multisystemic disease of unknown etiology characterized by necrotizing vasculitis and granulomatous inflammation (1-3). The disease typically involves the upper airways, lungs and kidneys, and gastrointestinal involvement is uncommon. Described here is a 33-year-old man who presented at the hospital with abdominal pain. Colonoscopy revealed multiple ulcers, including round ulcers, throughout the large intestine. Small bowel ulcers were detected by double balloon enteroscopy (DBE). Further study confirmed that these ulcers were caused by gastrointestinal complications of WG. The patient was administered prednisolone and cyclophosphamide and remains in remission. This case indicates the importance of considering a gastrointestinal complication of WG as the potential cause of abdominal symptoms among WG patients as well as the use of DBE in detecting such a complication.
著者
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Watanabe Sumio
Department Of Gastroenterology Juntendo University
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Inoue Kanako
Department Of Pharmaceutical Physiology Faculty Of Pharmaceutical Sciences Toyama Medical And Pharma
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Beppu Kazuko
Department Of Gastroenterology Juntendo University School Of Medicine
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Kawabe Masato
Department Of Gastroenterology Juntendo University School Of Medicine
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Ogihara Tatsuo
Department Of Gastroenterology Juntendo University School Of Medicine
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Nagahara Akihito
Department Of Gastroenterology Juntendo University School Of Medicine
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Shibuya Tomoyoshi
Department Of Gastroenterology Juntendo University School Of Medicine
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Osada Taro
Department Of Gastroenterology Juntendo University School Of Medicine
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Matsumoto Kenshi
Department of Advanced Nanostructured Materials Science and Technology, Kagoshima University
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Sakamoto Naoto
Department of Gastroenterology, Juntendo University School of Medicine
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Kawabe Masato
Department of Gastroenterology, Juntendo University, School of Medicine, Japan
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Watanabe Sumio
Department of Gastroenterology, Juntendo University, School of Medicine, Japan
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