Successful treatment with corticosteroid in a case of Behçet's syndrome with multiple esophageal ulcerations.
A 59-year-old woman was diagnosed with incomplete type Behçet's syndrome in 1994. The patient was hospitalized with pharyngitis and fever in August 2000, and was treated using non-steroidal anti-inflammatory drugs (NSAIDs). Symptoms improved and she was discharged. After only 3 weeks, she reported swallowing disturbance due to retrosternal pain. Esophagoscopy revealed multiple shallow oval ulcerations in the middle esophagus. Colonoscopy revealed aphthous lesions in the rectum. Prednisolone (0.5 mg/kg) was initiated for treatment of esophageal involvement. Symptoms gradually improved and subsequent esophagoscopy revealed complete healing of esophageal ulcerations.
Yasuo
Masanori
M
Department of Internal Medicine, Ina Chuo General Hospital, Nagano.
Miyabayashi
Hideharu
H
Okano
Tomomi
T
Aoki
Hajime
H
Ichikawa
Kazuo
K
Hirose
Yoshiki
Y
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D001528:Behcet Syndrome / Q000150:complications / Q000188:drug therapy*; D004724:Endoscopy; D004935:Esophageal Diseases / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use*; D012002:Rectal Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D016896:Treatment Outcome; D014456:Ulcer / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology
D000893:Anti-Inflammatory Agents; D011239:Prednisolone