Korean J Med > Volume 76(4); 2009 > Article
The Korean Journal of Medicine 2009;76(4):490-493.
Charcoal-induced anthracosis of the terminal ileum
Mun Seop Bae, Rack Cheon Bae, Moo Cheol Shin, Kyung Hyun Park, Seoung Jae Cho
식용 숯으로 인한 말단 회장에 발생한 탄분 침착증
배문섭, 배락천, 신무철, 박경현, 조승제
Abstract
Anthracosis is a very common disease of the bronchus, while anthracosis of the gastrointestinal tract is extremely rare. Only a few cases of anthracosis of the esophagus have been reported and no cases of anthracosis of the terminal ileum are known, except one patient in Korea who was described as having melanosis ilei. A black pigmented lesion was detected in the terminal ileum on colonoscopic examination of a 51-year-old woman. Histological examination revealed a pigmented lesion beneath the mucosal epithelial layer and lymphoid follicular hyperplasia. The lesion consisted of an aggregation of histiocytes containing abundant tiny black pigments. She has taken oral charcoal for 7 years. We diagnosed anthracosis of the terminal ileum caused by oral charcoal and report a case of charcoal-induced anthracosis of the terminal ileum. (Korean J Med 76:490-493, 2009)
Key Words: Charcoal; Anthracosis; Terminal ileum


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