頻回のフルニエ壊疸を繰り返した骨髄異形成症候群に合併した腸管Behcet病の1例

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  • A Case of Intestinal Behcet Disease and Myelodysplastic Syndrome Complicated by Fournier's Gangrene

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A 48-year-old man visited our hospital complaining of high fever and systemic eruption. With swelling, redness and ulcerations of the scrotum, he was diagnosed as Fournier's gangrene and treated by incision and drainage. He had been occasionally treated in the same way for Fournier's gangrene. As severe anemia was pointed out, further examination for the cause of anemia was done and he was diagnosed as myelodysplastic syndrome (MDS RA type).<BR>He was readmitted for therapy of recurrent Fournier's gangrene. After incision of the scrotum and castration, complication with panperitonitis due to perforation of the gastrointestinal tract was found. Multiple small punched-out ulcerations at the small intestine were revealed and ileocecal resection was performed. Postoperative colonoscopy revealed intestinal Behçet disease for multiple ulcerations and scars at the small and large intestine. He has been receiving home parenteral nutrition. Here we summarize 36 cases of Behçet disease associated with MDS in Japan.

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