Behcet's Disease Presenting as Pancolonic Ulcerations in a Patient With Kikuchi-Fujimoto Disease: A Rare Gastrointestinal Manifestation.

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY
ACG Case Reports Journal Pub Date : 2024-08-30 eCollection Date: 2024-09-01 DOI:10.14309/crj.0000000000001455
Frank Lin, Ayah Obeid, Harsh Bhalala, Nishit Patel, Li Ge, Ronak Modi
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引用次数: 0

Abstract

Kikuchi-Fujimoto disease (KFD) is a rare and self-limiting disorder characterized by cervical lymphadenopathy and fever. In this report, we present a case of a 24-year-old man with known history of KFD who presented with lower gastrointestinal bleeding and acute blood loss anemia. Further evaluation with colonoscopy showed widespread ulcerations in the colon and terminal ileum with suspicion for Behcet's disease. Biopsy from the colonic mucosa and ileocecal valve demonstrated focal ulcer with cryptitis and lymphoid aggregates that can be seen in Behcet's syndrome; however, it lacks specificity and Behcet's disease is a clinical diagnosis. This case emphasizes the importance of including gastrointestinal bleeding as a potential manifestation due to Behcet's disease in patients diagnosed with KFD.

菊地-藤本氏病患者出现胰腺溃疡的白塞氏病:罕见的胃肠道表现。
菊池-藤本氏病(Kikuchi-Fujimoto disease,KFD)是一种罕见的自限性疾病,以颈部淋巴结病和发热为特征。在本报告中,我们介绍了一例已知有 KFD 病史的 24 岁男性病例,他出现了下消化道出血和急性失血性贫血。进一步的结肠镜检查显示,结肠和回肠末端广泛溃疡,怀疑为白塞氏病。结肠粘膜和回盲瓣活检显示,病灶性溃疡伴有隐窝炎和淋巴细胞聚集,这在贝赫切特综合征中也可见到;但缺乏特异性,贝赫切特病是一种临床诊断。本病例强调了将消化道出血作为确诊为 KFD 患者的白塞氏病的潜在表现的重要性。
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来源期刊
ACG Case Reports Journal
ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-
自引率
14.30%
发文量
170
审稿时长
12 weeks
期刊介绍: ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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