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크론병과 유사한 내시경 소견의 거대세포바이러스 대장염

Other Titles
 A case of cytomegalovirus colitis with endoscopic finding resembling Crohn's disease 
Authors
 허철웅  ;  윤영훈  ;  정다현  ;  김도환  ;  고보건  ;  김지현  ;  박효진  ;  이상인 
Citation
 Korean Journal of Gastroenterology, Vol.59(4) : 303-307, 2012 
Journal Title
 Korean Journal of Gastroenterology 
ISSN
 1598-9992 
Issue Date
2012
MeSH
Aged, 80 and over ; Antiviral Agents/therapeutic use ; Colitis/diagnosis* ; Colitis/etiology ; Colitis/pathology ; Colonoscopy ; Crohn Disease/diagnosis ; Cytomegalovirus Infections/diagnosis* ; Cytomegalovirus Infections/drug therapy ; Cytomegalovirus Infections/pathology ; Ganciclovir/therapeutic use ; Humans ; Immunohistochemistry ; Injections, Intravenous ; Male ; Tomography, X-Ray Computed
Abstract
Cytomegalovirus (CMV) colitis is common among immunocompromised patients, and often diagnosed by pathologic confirmation because it is associated with a diverse spectrum of clinical and endoscopic features. However, Crohn's disease has no definitive diagnostic criteria, but longitudinal ulcers and cobble stone appearance are accepted as typical endoscopic features of Crohn's disease. An 83 year-old male with a history of radiotherapy for hypopharyngeal cancer visited our hospital with a complaint of melena for 1 week. His colonoscopic exam showed multiple longitudinal ulcers along the entire colon. Most of the ulcers were longer than 4 cm, these endoscopic findings were suspected as typical endoscopic features of Crohn's disease. Pathologic reports revealed multiple inclusion bodies with CMV on immunohistochemistry. He was finally diagnosed as having CMV colitis, and received a 3 week-course of intravenous ganciclovir. A colonoscopic follow-up showed complete healing of the multiple longitudinal ulcers, and he is doing well now without further treatment.
Files in This Item:
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DOI
10.4166/kjg.2012.59.4.303
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jie-Hyun(김지현) ORCID logo https://orcid.org/0000-0002-9198-3326
Park, Hyo Jin(박효진) ORCID logo https://orcid.org/0000-0003-4814-8330
Youn, Young Hoon(윤영훈) ORCID logo https://orcid.org/0000-0002-0071-229X
Lee, Sang In(이상인)
Jung, Da Hyun(정다현)
Huh, Cheal Wung(허철웅)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/158294
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