A CASE OF ILEOCECAL ULCERS ASSOCIATED WITH FAMILIAL MEDITERRANEAN FEVER

Abstract

We report a rare case of ileocecal ulcers associated with familial Mediterranean fever. A 38-year-old woman presented with soft stool and melena at our hospital. The patient had been diagnosed with familial Mediterranean fever five years previously and has been treated with colchicine. Colonoscopy revealed rounded, punched-out ulcers in the ileocecum. A diagnosis of intestinal Behçet’s disease or simple ulcer was made on the basis of endoscopic examination and clinical findings. Steroid treatment was effective for the abdominal symptoms. Endoscopy performed after initiation of steroid revealed that the ulcers had improved remarkably.