پیوندهای مفید
آمار
| تعداد نشریات | 20 |
| تعداد شماره‌ها | 1,149 |
| تعداد مقالات | 10,519 |
| تعداد مشاهده مقاله | 45,424,768 |
| تعداد دریافت فایل اصل مقاله | 11,296,707 |
Collagenous Enteritis – An Alternative Cause of Malabsorptive Enteropathy | ||
| Iranian Journal of Colorectal Research | ||
| مقاله 7، دوره 9، شماره 2، شهریور 2021، صفحه 78-81 اصل مقاله (1.86 M) | ||
| نوع مقاله: Case Report | ||
| شناسه دیجیتال (DOI): 10.30476/acrr.2021.91296.1100 | ||
| نویسندگان | ||
| Ebrahim Mirakhor* ؛ June Choe؛ Robert I Goodman | ||
| Department of General Internal Medicine, Cedars-Sinai Medical Center | ||
| چکیده | ||
| Introduction: Collagenous Enteritis (CE) is a less common cause of enteropathy presenting with malabsorption as its cardinal symptom. While historically considered a resistant form of celiac disease, newer evidence supports the interaction between genetic predispositions and environmental triggers as the pathophysiologic basis of CE. Case Presentation: Herein we present the case of a 40-year-old woman with two-year history of diarrhea and 32 kg weight loss who was incorrectly diagnosed with celiac disease with refractory symptoms despite adherence to a gluten-free diet. Extensive infectious, inflammatory, secretory, autoimmune workup did not reveal an underlying etiology. Endoscopic evidence of severe villous blunting and biopsy with characteristic patchy enlarged subepithelial collagen layer solidified a diagnosis of CE. Treatment with steroids resulted in resolution of malabsorptive symptoms and gradual weight gain. Conclusion: This case highlights the importance of considering CE in patients presenting with malabsorption especially given significant clinical overlap with other malasbsorptive conditions as well as its therapeutic implications. | ||
| کلیدواژه‌ها | ||
| Collagenous Enteritis؛ Malabsorption؛ Celiac Disease؛ Refractory Diarrhea | ||
| مراجع | ||
|
1. Schein J. Syndrome on non tropical sprue with hitherto undescribed lesions of the intestine. Gastroenterology. 1947;8(4):438-460. 2. Weinstein WM, Saunders DR, Tytgat GN, Rubin CE. Collagenous sprue--an unrecognized type of malabsorption. N Engl J Med. 1970;283(24):1297-1301. 3. Cuoco L, Villanacci V, Salvagnini M, Bassotti G. Collagenous sprue with associated features of refractory celiac disease. Rev Esp Enferm Dig. 2012;104(4):223-225. 4. Lan N, Shen B, Yuan L, Liu X. Comparison of clinical features, treatment, and outcomes of collagenous sprue, celiac disease, and collagenous colitis. J Gastroenterol Hepatol. 2017;32(1):120-127. 5. Karakus E, Ekinci O, Kirsaclioglu CT, Ozaydin E, Atakan C, Dursun A. A rare cause of protein losing enteropathy: collagenous sprue. Fetal Pediatr Pathol. 2015;34(2):133-135. 6. Zhao X, Johnson RL. Collagenous sprue: a rare, severe small-bowel malabsorptive disorder. Arch Pathol Lab Med. 2011;135(6):803-809. 7. Holdstock DJ, Oleesky S. Successful treatment of collagenous sprue with combination of prednisolone and gluten-free diet. Postgrad Med J. 1973;49(575):664-667. 8. Robert ME. Gluten sensitive enteropathy and other causes of small intestinal lymphocytosis. Semin Diagn Pathol. 2005;22(4):284-294. 9. Daniels JA, Lederman HM, Maitra A, Montgomery EA. Gastrointestinal tract pathology in patients with common variable immunodeficiency (CVID): a clinicopathologic study and review. The American journal of surgical pathology. 2007;31(12):1800-1812. 10. Freeman HJ, Berean KW. Resolution of paraneoplastic collagenous enterocolitis after resection of colon cancer. Can J Gastroenterol. 2006;20(5):357-360. 11. Robert ME, Ament ME, Weinstein WM. The histologic spectrum and clinical outcome of refractory and unclassified sprue. The American journal of surgical pathology. 2000;24(5):676-687. 12. Vakiani E, Arguelles-Grande C, Mansukhani MM, et al. Collagenous sprue is not always associated with dismal outcomes: a clinicopathological study of 19 patients. Mod Pathol. 2010;23(1):12-26. 13. Cellier C, Delabesse E, Helmer C, et al. Refractory sprue, coeliac disease, and enteropathy-associated T-cell lymphoma. French Coeliac Disease Study Group. Lancet. 2000;356(9225):203-208. 14. Nielsen OH, Riis LB, Danese S, Bojesen RD, Soendergaard C. Proximal collagenous gastroenteritides: clinical management. A systematic review. Ann Med. 2014;46(5):311-317. 15. Yau AH, Xiong W, Ko HH. Collagenous enterocolitis manifesting as watery diarrhoea and iron-deficiency anaemia. BMJ Case Rep. 2015;2015. 16. Kung VL, Liu TC, Ma C. Collagenous Enteritis is Unlikely a Form of Aggressive Celiac Disease Despite Sharing HLA-DQ2/DQ8 Genotypes. The American journal of surgical pathology. 2018;42(4):545-552. 17. Desruisseaux C, Bensoussan M, Desilets E, et al. Adding Water to the Mill: Olmesartan-Induced Collagenous Sprue-A Case Report and Brief Literature Review. Can J Gastroenterol Hepatol. 2016;2016:4837270. 18. Nielsen JA, Steephen A, Lewin M. Angiotensin-II inhibitor (olmesartan)-induced collagenous sprue with resolution following discontinuation of drug. World J Gastroenterol. 2013;19(40):6928-6930. 19. Vasant DH, Hayes S, Bucknall R, Lal S. Clinical and histological resolution of collagenous sprue following gluten-free diet and discontinuation of non-steroidal anti-inflammatory drugs (NSAIDs). BMJ Case Rep. 2013;2013. 20. van Gils T, van de Donk T, Bouma G, van Delft F, Neefjes-Borst EA, Mulder CJ. The first cases of collagenous sprue successfully treated with thioguanine. BMJ Open Gastroenterol. 2016;3(1):e000099. | ||
|
آمار تعداد مشاهده مقاله: 359 تعداد دریافت فایل اصل مقاله: 293 |
||