A CASE OF EOSINOPHILIC ESOPHAGITIS COMPLICATED WITH CROHN'S DISEASE
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- MIYAOKA Youichi
- Department of Endoscopy, Shimane Prefecture Central Hospital.
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- TSUKANO Kousuke
- Department of Gastroenterology, Shimane Prefecture Central Hospital.
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- UENO Sayaka
- Department of Gastroenterology, Shimane Prefecture Central Hospital.
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- YAMANOUCHI Satoshi
- Department of Gastroenterology, Shimane Prefecture Central Hospital.
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- KUSUNOKI Ryusaku
- Department of Gastroenterology, Shimane Prefecture Central Hospital.
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- ITO Satoko
- Department of Gastroenterology, Shimane Prefecture Central Hospital.
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- FUJISHIRO Hirofumi
- Department of Endoscopy, Shimane Prefecture Central Hospital.
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- KOHGE Naruaki
- Department of Gastroenterology, Shimane Prefecture Central Hospital.
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- ONUMA Hideyuki
- Department of Pathology, Shimane Prefectural Central Hospital.
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- KINOSHITA Yoshikazu
- Department of Internal Medicine II, Shimane University School of Medicine.
Bibliographic Information
- Other Title
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- クローン病に合併した好酸球性食道炎の1例
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Abstract
A 29-year-old man who had received a diagnosis of Crohn's disease (CD) in 2001 was referred to our department because of relapse of CD. Upper gastrointestinal endoscopy revealed white stipple-like exudates and red linear furrows in the esophagus, and pathological examination of biopsied specimens showed infiltration of eosinophils which was confirmed by the presence of more than 20 eosinophils in every high-power field. Eosinophilic esophagitis (EoE) was suspected ; however, only treatment for CD was started, because the patient was asymptomatic for EoE with no dysphagia, food impaction nor heartburn. After induction of remission of CD, the patient developed food impaction and heartburn without a change in endoscopic and pathological findings. Therefore, the diagnosis of EoE was confirmed. Swallowed fluticasone therapy was provided for 8 weeks. The patient's symptoms improved immediately, and the endoscopic and histologic findings improved as well. EoE in patients with CD is very rare.
Journal
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- GASTROENTEROLOGICAL ENDOSCOPY
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GASTROENTEROLOGICAL ENDOSCOPY 57 (2), 128-133, 2015
Japan Gastroenterological Endoscopy Society
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Details 詳細情報について
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- CRID
- 1390282679198126592
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- NII Article ID
- 130004811859
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- ISSN
- 18845738
- 03871207
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed