Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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A Case of Ischemic Colitis after Bee Venom-induced Anaphylaxis

벌독 아나필락시스 후에 발생한 허혈성 대장염 1예

  • Kim, Sung-Hoon (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Han, Koon-Hee (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Park, Jong-Kyu (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Lee, Sang-Jin (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Young-Don (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Jeong, Woo-Jin (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kang, Gil-Hyun (Department of Pathology, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Cheon, Gab-Jin (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 김성훈 (울산대학교 의과대학 강릉아산병원 내과학교실) ;
  • 한군희 (울산대학교 의과대학 강릉아산병원 내과학교실) ;
  • 박종규 (울산대학교 의과대학 강릉아산병원 내과학교실) ;
  • 이상진 (울산대학교 의과대학 강릉아산병원 내과학교실) ;
  • 김영돈 (울산대학교 의과대학 강릉아산병원 내과학교실) ;
  • 정우진 (울산대학교 의과대학 강릉아산병원 내과학교실) ;
  • 강길현 (울산대학교 의과대학 강릉아산병원 진단병리학교실) ;
  • 천갑진 (울산대학교 의과대학 강릉아산병원 내과학교실)
  • Published : 2011.03.30
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Abstract

Anaphylaxis is a potentially life-threatening allergic reaction, presenting with various clinical symptoms. The most common etiologies of anaphylactic reactions include allergic responses to food, medications, latex, and Hymenoptera stings. In its classic form, anaphylaxis typically involves the cutaneous, respiratory and cardiovascular systems. Gastrointestinal symptoms, including nausea, vomiting, diarrhea and cramping abdominal pain, can occur transiently but mucosal lesions are rarely detected. We recently experienced a case of ischemic colitis presenting with hematochezia after bee venom-induced anaphylactic shock. To the best of our knowledge, this is the first case in Korea. We report the case with a review of the literature.

아나필락시스는 주로 제1형 즉시형 과민반응을 통해 일어나며 피부 발진, 두드러기, 설사 등의 가벼운 증상부터 호흡곤란, 저혈압, 부정맥 등의 생명을 위협하는 전신 증상까지 나타날 수 있는 급성 반응이다. 그러나 각각의 임상 증상을 보이는 병태생리 기전은 정확히 알려져 있지 않으며 특히 벌독에 의한 아나필락시스 후에 발생한 허혈성 대장염에 대한 국내외 보고는 없었다. 저자들은 벌독에 의한 아나필락시스 후에 발생한 혈변으로 내원한 허혈성 대장염 환자 1예를 경험하여서 문헌고찰과 함께 보고한다.

Keywords

References

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