• Clinical rheumatology · Aug 2007

    Case Reports

    Successful treatment of life-threatening intestinal ulcer in Behçet's disease with infliximab: rapid healing of Behçet's ulcer with infliximab.

    • Ji Hyeon Ju, Seung-Ki Kwok, Soo-Hong Seo, Chong-Hyeon Yoon, Ho-Youn Kim, and Sung-Hwan Park.
    • The Center for Rheumatic Disease, College of Medicine, Kangnam St. Mary's Hospital, The Catholic University of Korea, #505 Banpo-Dong, Seocho-Gu, Seoul, 137-040, South Korea.
    • Clin. Rheumatol. 2007 Aug 1; 26 (8): 1383-5.

    AbstractBehçet's disease is a chronic, relapsing, multisystem inflammatory disorder characterized predominantly by recurrent orogenital ulcers, skin involvement, and uveitis. Recurrent mucocutaneous lesions may be the only symptom in mild cases, but ocular, gastrointestinal, and central nervous system involvement may occur in severe cases. We report in this study the successful treatment with infliximab of severe life-threatening GI bleeding caused by an ileal ulcer in a patient with Behçet's disease. Antitumor necrosis factor (TNF) therapy could be an emergency therapeutic option in patients with massively bleeding Behçet's disease and unstable patients or those with acute bleeding with other TNF-alpha-mediated autoimmune diseases. Another option for anti-TNF therapy could be as bridging management between conservative and surgical treatment.

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