早期診断治療により改善したベーチェット病例

DOI Web Site 参考文献12件
  • 吉福 孝介
    鹿児島県立大島病院耳鼻咽喉科
  • 永野 広海
    鹿児島県立大島病院耳鼻咽喉科
  • 黒野 祐一
    鹿児島大学大学院医歯学総合研究科 先進治療科学専攻感覚器病学聴覚頭頸部疾患学

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タイトル別名
  • A Case of Behcet Disease Improved by Early Treatment and Diagnosis
  • リンショウ ソウキ シンダン チリョウ ニ ヨリ カイゼンシタ ベーチェットビョウレイ

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We report a case of Behçet disease. A 68-year-old female complicated with diabetes mellitus consulted our hospital complaining of intractable oral ulcers that had continued to expand despite treatment with antibiotics and topical steroid at another hospital.<br>Since she complained of severe oral pain and pain upon swallowing, she received oral cavity care and gargled with azulene sodium sulfate and amphotericin B following admission.<br>Three days after admission, the patient's complaints decreased. Six days after admission, she complained of oral pain because a vesicle had erupted in the oral cavity. Therefore, we considered herpes stomatitis and treated her with a virucide, but there was no improvement. Since erythema nodosum had erupted on the anterior surface of her leg, the patient was referred to a dermatologist and Behçet disease was suspected even though there were no eye lesions or genital ulcers. Based on the diagnosis, oral steroids and colchicine were administered. Further, hypodermic injection of insulin was administered to control the blood glucose. These treatments were effective and local findings improved day by day. After oral administration of steroids for 2 weeks, she was discharged and there has not been any recurrence to date.

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