Behcet's syndrome with perforations of the colon.

Nilsen, Kris; Jones, Stephanie; Shorey, B. A.

doi:10.1136/pgmj.53.616.108

Cited by 9 publications

(4 citation statements)

References 8 publications

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“…This type of the disease is some- times fatal, due to severe intestinal hemorrhage, perforation, or septic shock. [3][4][5] The incidence of intestinal perforation in Behçet's disease is higher than that in ulcerative colitis and Crohn's disease. Although various new therapies, including azathioprine, 11 thalidomide, 12 cyclosporin, 13 fusidic acid, 14 interferon-α, 15 and intravenous immunoglobulin, 16 have been advocated, no medication has been established for severe Behçet's colitis.…”

Section: Discussionmentioning

confidence: 99%

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Therapeutic effect of intraarterial prednisolone injection in severe intestinal Behçet's disease

Toda

Shiratori

Yasuda

et al. 2002

Journal of Gastroenterology

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A 64-year-old woman with severe intestinal Behçet's disease who was unresponsive to conventional therapies, including intensive intravenous steroid injections, underwent intraarterial steroid injection therapy. After the infusion of prednisolone into the mesenteric arteries, her colon ulcers improved markedly, and the frequency of bloody stools decreased immediately. The present case suggests that intraarterial steroid injection therapy may be potentially useful in severe intestinal Behçet's disease.

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Section: Discussionmentioning

confidence: 99%

“…[3][4][5] Therefore, we tried this therapy prior to the intended surgical resection in the patient described herein. Intraarterial steroid injection may be a desirable choice prior to surgical resection when other agents have failed.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic effect of intraarterial prednisolone injection in severe intestinal Behçet's disease

Toda

Shiratori

Yasuda

et al. 2002

Journal of Gastroenterology

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“…The treatment of Behçet’s enterocolitis is rarely reported. Only seven cases treated with steroids 29–35 have been reported in the English literature in the past 30 years. All patients, except for two, had an excellent response to steroid therapy.…”

Section: Discussionmentioning

confidence: 99%

Repeated intestinal perforation caused by an incomplete form of Behçet's syndrome

Ng¹,

Cheung²,

Chow³

et al. 2001

J of Gastro and Hepatol

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Behçet's disease, as initially described, is a triad of recurrent oral and genital ulcers and relapsing uveitis. The incomplete form, in which there is no ocular involvement, has been described in Japan and Korea, but this is not commonly recognized in the southern Chinese. We reported herein a rare case of repeated intestinal perforations caused by an incomplete form of Behçet's syndrome in a southern Chinese man.

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“…However, intestinal vasculitis is rare and intestinal venulitis is much rarer [6]. Intestinal ischaemia for mesenteric nonthrombotic occlusion has been described in Churg-Strauss syndrome and Beh~et's disease [10,13]; intestinal venulitis has been described in systemic lupus erythematosus [9,17,22], Beh~et's disease [1,10,15], rheumatoid arthritis [19], Buerger's disease [11], and in drugrelated vasculitis [14]; in all these conditions venular involvement coexists arterial vasculitis and extra-intestinal manifestations are usually present. Intestinal ischaemia for mesenteric nonthrombotic occlusion has been described in Churg-Strauss syndrome and Beh~et's disease [10,13]; intestinal venulitis has been described in systemic lupus erythematosus [9,17,22], Beh~et's disease [1,10,15], rheumatoid arthritis [19], Buerger's disease [11], and in drugrelated vasculitis [14]; in all these conditions venular involvement coexists arterial vasculitis and extra-intestinal manifestations are usually present.…”

Section: Discussionmentioning

confidence: 99%

Intramural mesenteric venulitis

Corsi

Ribaldi

Coletti

et al. 1995

Vichows Archiv A Pathol Anat

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Venous damage is an uncommon cause of intestinal ischaemia. We report on a 44-year-old woman who presented signs and symptoms of acute intestinal ischaemia requiring surgical treatment. Histological examination of the resected right colon showed features of an intramural lymphocytic venulitis with no other demonstrable causes of ischaemic injury of the bowel. Extramural mesenteric veins appeared dilated and congested, without evidence of thrombotic occlusion or of inflammatory involvement. The patient, who was not taking any long-term medication and had no clinical evidence of collagen-vascular disease, promptly recovered after surgery. Follow-up for 7 months with no recurrences suggested a self-limited or indolent process. We propose the name 'intramural mesenteric venulitis' for this condition and believe that it could represent one extreme (the microscopic variant or intramural phase) of the spectrum comprising entero-colic phlebitis and mesenteric inflammatory veno-occlusive disease. The immunohistochemical evidence of a marked preponderance of T phenotype in the perivenular lymphocytes suggests lymphocyte-mediated vascular damage as the pathogenesis of the lesion.

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Behcet's syndrome with perforations of the colon.

Cited by 9 publications

References 8 publications

Therapeutic effect of intraarterial prednisolone injection in severe intestinal Behçet's disease

Therapeutic effect of intraarterial prednisolone injection in severe intestinal Behçet's disease

Repeated intestinal perforation caused by an incomplete form of Behçet's syndrome

Intramural mesenteric venulitis

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