[Collagenous sprue and ulcerative jejuno-ileitis in a patient with gluten-induced enteropathy]. / Kollagensprue und ulzerierende Jejunoileitis bei einem Patienten mit gluteninduzierter Enteropathie.
Schweiz Med Wochenschr
; 116(39): 1343-9, 1986 Sep 27.
Article
em De
| MEDLINE
| ID: mdl-3775341
ABSTRACT
In a 60-year-old patient with adult celiac disease complete clinical remission was achieved with a glutenfree diet, but symptoms of sprue subsequently recurred despite rigid adherence to dietary restrictions. Further investigations revealed simultaneous occurrence of two severe complications of celiac disease collagenous sprue and ulcerative jejunoileitis. The patient died after a 2 1/2 year course of refractory, severe, relentlessly progressive malabsorption. In the light of the literature and this observation it is postulated that in every case of primary or secondary refractory celiac disease complications must be sought to diagnose collagenous sprue, aspiration biopsy from the proximal jejunum, and possibly also from the terminal ileum, may be more efficient than simple endoscopic biopsy from the descending duodenum. If the diagnosis of collagenous sprue can be established, therapy with steroids should be attempted. The diagnosis of ulcerative jejunoileitis is usually missed by radiology and requires exploratory laparotomy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença Celíaca
/
Doenças do Colágeno
/
Ileíte
/
Doenças do Jejuno
Tipo de estudo:
Etiology_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
De
Revista:
Schweiz Med Wochenschr
Ano de publicação:
1986
Tipo de documento:
Article