Clinical Medicine Insights: Case Reports (Jan 2014)

A Case of Human Leukocyte Antigen (HLA) B27-Positive Intestinal Behçet's Disease with Crohn's Disease-Like Anal Fistulas

  • Tsuyoshi Kobashigawa,
  • Yuki Nanke,
  • Masakazu Takazoe,
  • Kuniko Iihara,
  • Hisashi Yamanaka,
  • Shigeru Kotake

DOI
https://doi.org/10.4137/CCRep.S11807
Journal volume & issue
Vol. 7

Abstract

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A 49-year-old male was admitted to our hospital with complaints of perianal pain, bloody stool, and high-grade fever due to perianal abscess. Drainage was carried out; however, the patient's complaints worsened, and biopsy findings of colonoscopy showed ulcerative colitis-like lesions. The patient was diagnosed as having Behçet's disease with intestinal involvement, did not have HLA-B51, but did have HLA-B27. We describe a case of Behcet's disease with colitis, making a differential diagnosis of inflammatory bowel disease difficult.