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Journal of the Korean Society of Coloproctology ; : 125-130, 2000.
Article in Korean | WPRIM | ID: wpr-69343

ABSTRACT

Amyloidosis is known as a disease caused by the deposition of a insoluble and fibrous amyloid protein in the extracellular space of various organs and tissue. Intestinal amyloid deposition may develop motility disturbance, malabsorption, bleeding and perforation. A 70-year old woman with lower abdominal pain, watery diarrhea was admitted and had the past history of diabetes mellitus, hypertension for 8 years and rheumatoid arthritis for 10 year. On colonoscopic examination for evaluation of diarrhea, multiple edematous and shallow ulcers was found from distal sigmoid to terminal ileum. A green colored positive birifringent stained amorphous material was found in polarizing microscopy of colon biopsy specimen stained with Congo-red on microscopic examination,. We report a case of amyloidosis causing colon ulcers confirmed by colonoscopic biopsy with review literature.


Subject(s)
Aged , Female , Humans , Abdominal Pain , Amyloid , Amyloidosis , Arthritis, Rheumatoid , Biopsy , Colitis , Colon , Colon, Sigmoid , Diabetes Mellitus , Diarrhea , Extracellular Space , Hemorrhage , Hypertension , Ileum , Microscopy , Plaque, Amyloid , Ulcer
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