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JYMS : Journal of Yeungnam Medical Science

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1 "Bullous pemphioid, Upper gastrointestinal bleeding"
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Case Report
Gastroenterology and Hepatology
A Case of Esophageal Bullous Pemphigoid Manifestated by Upper Gastrointestinal Bleeding
Kyeong Ok Kim, Byung Ik Jang, Jong Ryul Eun, Tae Nyun Kim
Yeungnam Univ J Med. 2007;24(2 Suppl):S671-675.   Published online December 31, 2007
DOI: https://doi.org/10.12701/yujm.2007.24.2S.S671
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AbstractAbstract PDF
Bullous pemphiogid (BP) is a chronic vesicular disorder and an autoimmune disease which has an autoantibodies to hemidesmosime in the keratinocyte. The authors report a case of gastrointestinal bleeding caused by BP involved with esophagus. A seventy year old man visited our clinic due to melena for a week. He had a quadriplegia due to fracture of cervical spine and was on therapy with corticosteroid and immunomodulatory drug for the diagnosis of BP. On endoscopic examination, multiple bullae filled with blood at lower esophagus was revealed and there was no other bleeding focus in stomach and duodenum. Medical treatment for BP with supportive care was done. The patient died due to sepsis caused by pneumonia. BP is common in elderly or poor conditioned patients. We need to consider the invasion of esophagus in case of gastrointestinal bleeding in patients with BP.

Citations

Citations to this article as recorded by  
  • Esophageal Involvement of Bullous Pemphigoid
    Junseak Lee, Sanggon Moon, Chul-Hyun Lim
    The Korean Journal of Gastroenterology.2021; 78(4): 249.     CrossRef

JYMS : Journal of Yeungnam Medical Science
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