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자료유형
학술저널
저자정보
임경인 (가천대학교) 양동화 (가천대학교 길병원) 류일 (가천대학교)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.15 No.3
발행연도
2017.1
수록면
422 - 428 (7page)

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We report the case of a 5-year-old male patient with multiple aseptic splenic abscesses associated with Behçet’s disease. Thepatient visited Gachon University Gil Hospital with fever, abdominal pain, and acute watery and bloody diarrhea, and reporteda 2-year history of chronic abdominal pain and intermittent watery diarrhea. He was treated with antibiotics at a local clinic forfever and cervical lymph node swelling. Additionally, he had recurrent stomatitis. A colonoscopy showed multiple well-demarcatedulcerations throughout the colon, and abdominal computed tomography showed multiple splenic abscesses. Pathergyand HLA-B51 tests were positive. Investigations did not reveal any infectious organisms in the aspirate obtained via ultrasoundguidedfine needle aspiration. After steroid treatment, all symptoms and multiple aseptic splenic abscesses resolved. However,oral ulcers, genital ulcers, and abdominal pain recurred after tapering the steroids. Infliximab treatment improved the patient’ssymptoms. However, 5 months after the treatment, the symptoms recurred. The treatment was changed to include adalimumab. Subsequently, the patient’s symptoms resolved and colonoscopic findings improved. No recurrence was noted after 3months of follow-up.

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