[A case of Behçet's disease with severe esophageal stenosis treated with esophageal bujie]. 1995

T Oose, and K Tokutomi, and A Takeuchi, and T Hashimoto
Second Department of Internal Medicine, Faculty of Medicine, University of Teikyo, Tokyo.

A 50-year-old woman who had been suffering from Behçet's disease came to our clinic. The patient developed recurrent oral aphthae, genital ulcers, and folliculitis when she was 25-year-old. In 1971 the diagnosis is of Behçet's disease was made and oral prednisolone was started. In 1976 oral and labial aphthae became worse, and after healing of these aphthae, adhesion of oral angle developed. At that time plastic surgery for adhesion was made. In 1990 the patient felt difficulty in opening the mouth again and operation for mouth was performed. In 1991 the patient was admitted to our hospital for the third time because of recurrent oral aphthae, vomitting, and dysphagia. Upper gastrointestinal series and endoscopic examination revealed that there was severe stenosis in the middle portion of esophagus. Above that lesion, dilatation of esophagus with retention of barium was observed. Forty mg/day of prednisolone with liquid meal was started, and operation for stenosis of the esophagus using bujie was performed twice. After that operation, the patient was able to take solid meals. Esophageal ulceration with Behçet's disease treated with prednisolone was reported and discussed with the review of the literture.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011239 Prednisolone A glucocorticoid with the general properties of the corticosteroids. It is the drug of choice for all conditions in which routine systemic corticosteroid therapy is indicated, except adrenal deficiency states. Di-Adreson-F,Predate,Predonine,Di Adreson F,DiAdresonF
D002404 Catheterization Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions. Cannulation,Cannulations,Catheterizations
D003131 Combined Modality Therapy The treatment of a disease or condition by several different means simultaneously or sequentially. Chemoimmunotherapy, RADIOIMMUNOTHERAPY, chemoradiotherapy, cryochemotherapy, and SALVAGE THERAPY are seen most frequently, but their combinations with each other and surgery are also used. Multimodal Treatment,Therapy, Combined Modality,Combined Modality Therapies,Modality Therapies, Combined,Modality Therapy, Combined,Multimodal Treatments,Therapies, Combined Modality,Treatment, Multimodal,Treatments, Multimodal
D004940 Esophageal Stenosis A stricture of the ESOPHAGUS. Most are acquired but can be congenital. Esophageal Stricture,Stenosis, Esophageal,Esophageal Stenoses,Stricture, Esophageal
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001528 Behcet Syndrome Rare chronic inflammatory disease involving the small blood vessels. It is of unknown etiology and characterized by mucocutaneous ulceration in the mouth and genital region and uveitis with hypopyon. The neuro-ocular form may cause blindness and death. SYNOVITIS; THROMBOPHLEBITIS; gastrointestinal ulcerations; RETINAL VASCULITIS; and OPTIC ATROPHY may occur as well. Behcet Disease,Behcet's Disease,Behcet's Syndrome,Triple-Symptom Complex,Adamantiades-Behcet Disease,Behcet Triple Symptom Complex,Behçet Disease,Old Silk Route Disease,Triple Symptom Complex,Adamantiades Behcet Disease,Adamantiades-Behcet Diseases,Behçet Diseases,Symptom Complex, Triple,Triple Symptom Complices

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