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Korean J Med > Volume 89(1); 2015 > Article
류마티스
The Korean Journal of Medicine 2015;89(1): 127-132.
폐침범 없이 위장관 전체에 발현된 유육종증 1예
김보영1, 김소라1, 황지영2, 진소영3, 김현숙1
1순천향대학교 의과대학 순천향대학교병원 내과
2순천향대학교 의과대학 순천향대학교병원 영상의학과
3순천향대학교 의과대학 순천향대학교병원 병리과
A Case of Gastrointestinal Sarcoidosis without Pulmonary Involvement
Bo Young Kim1, So Ra Kim1, Jiyoung Hwang2, So-Young Jin3, Hyun-Sook Kim1
1Departments of Internal Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea
2Departments of Radiology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea
3Departments of Pathology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea
Corresponding Author: Hyun-Sook Kim ,Tel: +82-2-710-3214, Fax: +82-2-709-9554, Email: healthyra@schmc.ac.kr
Received: March 7, 2014;   Revised: March 28, 2014;   Accepted: April 7, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Sarcoidosis is a multisystemic granulomatous disease of unknown etiology that is based on the presence of non-caseating granulomas. Sarcoidosis commonly involves the lungs, skin, and eyes. Gastrointestinal tract involvement in sarcoidosis is uncommon. Gastrointestinal tract sarcoidosis commonly occurs subclinically, with clinical manifestations present in only 0.1-0.9% of patients with the disease. There are rare case reports of an individual with symptomatic gastrointestinal sarcoidosis. In Korea, gastrointestinal sarcoidosis without pulmonary involvement has not been reported previously. Here, we describe a case of gastrointestinal sarcoidosis in a 37-year-old male with symptoms of weight loss, fever, and abdominal pain. He was diagnosed based on the presence of non-caseating epithelioid granulomas in the stomach, duodenum, and colon by multiple biopsies.
Keywords: Sarcoidosis; Gastrointestinal involvement
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