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Hemorrhagic gastric ulcer in a patient with Behcet's disease successfully treated with infliximab

Behcet's disease (BD) is a multisystem immune‐mediated inflammatory disorder that occasionally involves the gastrointestinal tract. Reports on gastrointestinal involvement of BD are relatively rare, of which gastroduodenal involvement is particularly rare. Endoscopic features of gastroduodenal...

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Autores principales: Fujiwara, Shun, Kawamoto, Ami, Motobayashi, Maiko, Hibiya, Shuji, Takenaka, Kento, Shimizu, Hiromichi, Saito, Eiko, Fujii, Toshimitsu, Nagahori, Masakazu, Kawata, Daisuke, Umezawa, Natsuka, Hosoya, Tadashi, Yasuda, Shinsuke, Ohtsuka, Kazuo, Okamoto, Ryuichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9755104/
https://www.ncbi.nlm.nih.gov/pubmed/36540902
http://dx.doi.org/10.1002/deo2.196
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author Fujiwara, Shun
Kawamoto, Ami
Motobayashi, Maiko
Hibiya, Shuji
Takenaka, Kento
Shimizu, Hiromichi
Saito, Eiko
Fujii, Toshimitsu
Nagahori, Masakazu
Kawata, Daisuke
Umezawa, Natsuka
Hosoya, Tadashi
Yasuda, Shinsuke
Ohtsuka, Kazuo
Okamoto, Ryuichi
author_facet Fujiwara, Shun
Kawamoto, Ami
Motobayashi, Maiko
Hibiya, Shuji
Takenaka, Kento
Shimizu, Hiromichi
Saito, Eiko
Fujii, Toshimitsu
Nagahori, Masakazu
Kawata, Daisuke
Umezawa, Natsuka
Hosoya, Tadashi
Yasuda, Shinsuke
Ohtsuka, Kazuo
Okamoto, Ryuichi
author_sort Fujiwara, Shun
collection PubMed
description Behcet's disease (BD) is a multisystem immune‐mediated inflammatory disorder that occasionally involves the gastrointestinal tract. Reports on gastrointestinal involvement of BD are relatively rare, of which gastroduodenal involvement is particularly rare. Endoscopic features of gastroduodenal lesions are unknown, and treatment strategies have not been established. In this report, we present the case of a 72‐year‐old female with gastrointestinal BD who presented with extensive gastroduodenal ulcers and hematemesis that were resistant to colchicine and corticosteroid treatment, which were subsequently successfully treated with infliximab. We also review the current literature on the gastroduodenal involvement of BD. Although rare, the case highlights the importance of being aware of upper gastrointestinal manifestations of BD, as well as demonstrating the potential of infliximab to treat corticosteroid‐resistant cases.
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spelling pubmed-97551042022-12-19 Hemorrhagic gastric ulcer in a patient with Behcet's disease successfully treated with infliximab Fujiwara, Shun Kawamoto, Ami Motobayashi, Maiko Hibiya, Shuji Takenaka, Kento Shimizu, Hiromichi Saito, Eiko Fujii, Toshimitsu Nagahori, Masakazu Kawata, Daisuke Umezawa, Natsuka Hosoya, Tadashi Yasuda, Shinsuke Ohtsuka, Kazuo Okamoto, Ryuichi DEN Open Case Reports Behcet's disease (BD) is a multisystem immune‐mediated inflammatory disorder that occasionally involves the gastrointestinal tract. Reports on gastrointestinal involvement of BD are relatively rare, of which gastroduodenal involvement is particularly rare. Endoscopic features of gastroduodenal lesions are unknown, and treatment strategies have not been established. In this report, we present the case of a 72‐year‐old female with gastrointestinal BD who presented with extensive gastroduodenal ulcers and hematemesis that were resistant to colchicine and corticosteroid treatment, which were subsequently successfully treated with infliximab. We also review the current literature on the gastroduodenal involvement of BD. Although rare, the case highlights the importance of being aware of upper gastrointestinal manifestations of BD, as well as demonstrating the potential of infliximab to treat corticosteroid‐resistant cases. John Wiley and Sons Inc. 2022-12-15 /pmc/articles/PMC9755104/ /pubmed/36540902 http://dx.doi.org/10.1002/deo2.196 Text en © 2022 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Fujiwara, Shun
Kawamoto, Ami
Motobayashi, Maiko
Hibiya, Shuji
Takenaka, Kento
Shimizu, Hiromichi
Saito, Eiko
Fujii, Toshimitsu
Nagahori, Masakazu
Kawata, Daisuke
Umezawa, Natsuka
Hosoya, Tadashi
Yasuda, Shinsuke
Ohtsuka, Kazuo
Okamoto, Ryuichi
Hemorrhagic gastric ulcer in a patient with Behcet's disease successfully treated with infliximab
title Hemorrhagic gastric ulcer in a patient with Behcet's disease successfully treated with infliximab
title_full Hemorrhagic gastric ulcer in a patient with Behcet's disease successfully treated with infliximab
title_fullStr Hemorrhagic gastric ulcer in a patient with Behcet's disease successfully treated with infliximab
title_full_unstemmed Hemorrhagic gastric ulcer in a patient with Behcet's disease successfully treated with infliximab
title_short Hemorrhagic gastric ulcer in a patient with Behcet's disease successfully treated with infliximab
title_sort hemorrhagic gastric ulcer in a patient with behcet's disease successfully treated with infliximab
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9755104/
https://www.ncbi.nlm.nih.gov/pubmed/36540902
http://dx.doi.org/10.1002/deo2.196
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