복통으로 내원한 Behcet병 환자에서 진단된 연중독

• Published in: The Korean journal of gastroenterology Vol. 26; no. 2; pp. 399 - 404
• Main Authors: 남문석, Moon Suk Nam, 정준표, Jun Pyo Chung, 이홍우, Hong Woo Lee, 오제열, Je Yol Oh, 박효진, Hyo Jin Pack, 이관식, Kwan Sik Lee, 이상인, Sang In Lee, 박인서, In Suh Park, 이안나, An Na Lee, 송경순, Kyung Soon Song
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 01-01-1994
• Subjects: Behcets disease; Lead intoxication; Lead mobilization test
• ISSN: 1598-9992

Behcets disease is a systemic disease involving skin, joint, gastrointestinal tract, vascular and nervous systems, characterized by recurrent oral and genital ulcerations and ocular in- flammation. The intestinal Behcets disease has nonspecific abdominal symptoms of colicky pain, constipation, diarrhea, nausea, vomiting, and malabsorption. Therefore, we need to dif- ferentiate with other diseases having nonspecific abdominal symptoms. We have experienced a case of lead intoxication after ingestion of herbal pills believed to contain lead compounds. A 40 year-old female with known Behcet's disaese was admitted due to acute colicky abdominal pain. The cause of abdominal pain and anemia was investigated and intestinal Behcets disease was ruled out. The diagnosis of lead intoxication was made by careful history, clinical manifestations, and various laboratory findings including peripheral blood smear, bone marrow aspiration and biopsy, serum lead and free erythrocyte protoporphyrin levels. W e also used lead mobilization test for measure of chelatable lead level. The treatment was performed with 4 courses of EDTA infusion therapy and the clinical symptoms and chemical data associated with lead intoxication improved.(Korean J Gastroen- terol 1994; 26: 399 404)