Abstract
Concerning the efficacy of medical treatment to intestinal Behcet, definite conclusion has not been drawn at this time, and the necessity of surgical procedures has been emphasized even if medical treatment is temporarily effective. This report is a case of intestinal Behcet who responded to medical treatment with steroid and salazopyrin. Patient is 51-year-old female who was diagnosed as neuro Behcet 10 years ago. Steroid was given twice with good response. Four years ago, she had dull pain in the lower abdomen accompanied by melena and diagnosis of intestinal Behcet was established Two years ago lower abdominal pain recurred and surgical tretment was performed against the perforation of the intestinal ulcers occurred due to intestinal Behcet. Postoperative course was uneventful. However, abdominal pain and melena relapsed suddenly 3 months ago. She was admitted to Hirakata City Hospital and transferred to Osaka Medical College for further evaluation of intestinal Behcet. Multiple ulcers in the ileum were found by both x-ray and endoscopic exminations. Treatment with steroid and salazopyrin was undertaken and symptoms improved quickly. The healing of multiple ulcers was confirmed by endoscopic and x-ray examinations done on the 30th and 40th day after the beginning of the treatment, respectively.
