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A Case of Human Leukocyte Antigen (HLA) B27-Positive Intestinal Behçet's Disease with Crohn's Disease-Like Anal Fistulas
Author(s) -
Tsuyoshi Kobashigawa,
Yuki Nanke,
Masakazu Takazoe,
Kuniko Iihara,
Hisashi Yamanaka,
Shigeru Kotake
Publication year - 2014
Publication title -
clinical medicine insights case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.187
H-Index - 12
ISSN - 1179-5476
DOI - 10.4137/ccrep.s11807
Subject(s) - medicine , behcet's disease , ulcerative colitis , disease , inflammatory bowel disease , differential diagnosis , human leukocyte antigen , colonoscopy , crohn's disease , gastroenterology , perianal abscess , biopsy , pyoderma gangrenosum , abscess , dermatology , immunology , pathology , antigen , surgery , colorectal cancer , cancer
A 49-year-old male was admitted to our hospital with complaints of perianal pain, bloody stool, and high-grade fever due to perianal abscess. Drainage was carried out; however, the patient's complaints worsened, and biopsy findings of colonoscopy showed ulcerative colitis-like lesions. The patient was diagnosed as having Behçet's disease with intestinal involvement, did not have HLA-B51, but did have HLA-B27. We describe a case of Behcet's disease with colitis, making a differential diagnosis of inflammatory bowel disease difficult.

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