口内炎を繰り返し，吐血を呈した若年者中部食道潰ようの１例

DOI

書誌事項

タイトル別名
  • A Case of Esophageal Ulcer with Aphthoid Lesion.

抄録

A18-year-old male who had a ten-year history of recurrent aphthous oral ulcers wasadmitted to our hospital because of vomiting of blood and retrosternal pain. Physicalexamination revealed no remarkable change except for oral aphthas. Laboratory exami-nation showed positive anti-nuclear-antigen(×80). Herpes-virus titeration gave negativeresult. An esophagogram showed punched-out-ulcer in the middle esophagus. Uppergastrointestinal endoscopy revealed three shallow punched-out-uicers with bleeding andfour aphthaid lesions at a distance of 35cm from the incisor teeth. Investigation of thestomach and intestine showed no abnormalities. The esophageal lesions were improved byantiacids therapy including PPI for two months, although oral ulcers remain much thesame up to nova. Reflux esophagitis, herpetic esophagitis, Crohn's disease, and Behcet syndrome werenot likely by the studies shown above. Etiology of this aphthoid esophageal ulcer wasunknown. Thus, a follow-up study is necessary to clarify this disease, because there is nocase report of esophageal ulcer like this which was observed for a Long germ. When patients with aphthous oral ulcer complain of upper GI symptoms, the esophagusshould be carefully examined.

収録刊行物

詳細情報 詳細情報について

  • CRID
    1390001204213332992
  • NII論文ID
    130004089863
  • DOI
    10.11280/gee1973b.40.1272
  • ISSN
    18845738
    03871207
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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