書誌事項
- タイトル別名
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- A patient with syphilis who had concomitant gastric and large intestinal lesions
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<p> A 43-year-old man presented to our hospital with the chief complaint of melena. An ulcerating lesion suggestive of inflammatory bowel disease was detected in the rectum by colonoscopy. Subsequently, epigastric pain occurred and upper gastrointestinal endoscopy was performed, revealing multiple irregular ulcers throughout the stomach. Immunohistochemical examination of a gastric mucosa biopsy specimen detected Treponema pallidum. In addition, a serological test for syphilis antibody was positive and Treponema pallidum was also found in the rectal lesion. Therefore, the patient was diagnosed as having secondary syphilis with syphilitic gastric and rectal lesions. In this patient, the endoscopic features of the gastric lesions were relatively typical of syphilis. However, the rectal lesion resembled an ulcer caused by inflammatory bowel disease and differential diagnosis was difficult. There have been reports that the number of patients with syphilis has been increasing recently. It will be important for physicians to learn to recognize the endoscopic appearance of gastrointestinal tract lesions caused by syphilis.</p>
収録刊行物
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- Progress of Digestive Endoscopy
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Progress of Digestive Endoscopy 92 (1), 88-89, 2018-06-15
一般社団法人 日本消化器内視鏡学会 関東支部
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詳細情報 詳細情報について
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- CRID
- 1390282763022023296
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- NII論文ID
- 130007374564
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- ISSN
- 21874999
- 13489844
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可