Crohn’s disease has been diagnosed in the wake of the esophagus ulcer

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  • 食道潰瘍を契機に診断されたクローン病の1例

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This is a case of a male patient in his 30’s who underwent esophagogastroduodenoscopy (EGD) for epigastric pain. EGD revealed a longitudinal ulcer in the esophagus of unknown cause for which a mucosal protective agent and proton-pump inhibitor were prescribed. He presented again with a lower abdominal pain. Colonoscopy (CS) was also performed. It showed cobblestone appearance and longitudinal ulcer in the ileocecal region. He was diagnosed with Crohn’s disease (CD) and previous esophageal ulcers it was found to be an upper gastrointestional tract lessions of CD. He was admitted for further investigations and instigation of medical treatment. Treatment with azathioprine and infliximab was initiated. To this date, he has remained in remission, and has not had any relapses of esophagus ulcers.

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