The Clinical Features and Helicobacter pylori Eradication Therapy in Lymphofollicular Gastritis: A Single Center Experience

BACKGROUND/AIMS: Lymphofollicular gastritis (LFG) is defined as antral gastritis with endoscopic findings characterized by a miliary pattern resembling “goose flesh”. We aimed to analyze the clinical features of LFG and the utility of Helicobacter pylori eradication therapy in LFG. MATERIALS AND METHODS: Patients with LFG, regardless of upper gastrointestinal symptoms (7 men, 28 women; age range, 21~67 years), were examined for H. pylori using the CLO test during endoscopy. One specimen was obtained from the greater curvatures of the lower body and the antrum. Clinical features were compared according to H. pylori-positive status. RESULTS: Among 35 patients with LFG, 31 (88.6%) were infected with H. pylori. LFG predominantly affected young women (28/35, 80.0%; mean age, 43.73 years). One case of gastric cancer with H. pylori-positive LFG was found. H. pylori eradication rate in LFG patients was low (3/12, 25.0%). CONCLUSIONS: LFG is closely associated with H. pylori infection and predominantly affects women and young adults. Future studies are needed to determine whether H. pylori eradication reduces the risk of gastric cancer.

A Case of an Accessory Cystic Duct Draining into the Right Intrahepatic Duct / 대한췌담도학회지

Anatomic variations in the biliary tree may not be detected until adulthood and they can cause unexplained jaundice and biliary pain. Recognition of these anatomic variations is important to avoid an incorrect diagnosis and significant ductal injury during biliary surgery. Although there are numerous anatomic bile duct variations, an accessory cystic duct draining into the right hepatic duct is rare. We report a case of an accessory cystic duct draining into the right hepatic duct with cholelithiasis, in which the abnormality was identified by endoscopic retrograde cholangiopancreatography and magnetic resonance cholangiopancreatography and confirmed by laparoscopic cholecystectomy.

A Case of Gouty Arthritis Involving the Hip Joint Diagnosed Using Ultrasonography / 대한내과학회지

Gout is a clinical syndrome resulting from the deposition of monosodium urate monohydrate. Gouty arthritis is characterized by hyperuricemia and recurrent attacks of typical mono-or polyarthritis. Urate deposition frequently involves the articular cartilage, subchondral bone, synovial membrane, joint capsule, and periarticular tissues. The first metatarsophalangeal joint is most commonly involved, and other frequently affected joints include the ankle, knee, and tarsal area. However, the hip joint is very rarely affected. We herein report a case of gouty arthritis presenting with hip synovitis diagnosed using ultrasonography.