Assuntos
Humanos , Feminino , Adulto , Intussuscepção , Colonoscopia/métodos , Colonoscopia , Pólipos do Colo/diagnóstico , /métodos , Laparotomia , Enteroscopia de Duplo Balão/métodos , Valva Ileocecal/patologia , Valva Ileocecal/cirurgia , Intussuscepção/diagnóstico , Intussuscepção/cirurgia , Exame Físico/instrumentação , Exame Físico/métodos , Valva IleocecalRESUMO
Autoimmune enteropathy (AIE) is an infrequent cause of malabsorption that is usually associated with the presence of circulating autoantibodies and a predisposition to autoimmune disorders. This disease is more frequent in children. The diagnosis of this disorder is based on five criteria: chronic diarrhea (>6 weeks), malabsorption, specific histological findings, exclusion of similar disorders, and the presence of specific antibodies such as anti-enterocyte and anti-goblet cell antibodies. We present the case of a 63-year-old patient with chronic diarrhea, weight loss and significant deterioration of nutritional status.
Assuntos
Poliendocrinopatias Autoimunes , Atrofia , Autoanticorpos/análise , Biópsia , Endoscopia por Cápsula , Doença Celíaca/diagnóstico , Doença Crônica , Diagnóstico Diferencial , Diarreia/etiologia , Humanos , Hiperplasia , Intestino Delgado/patologia , Linfocitose/etiologia , Síndromes de Malabsorção/etiologia , Masculino , Metilprednisolona/uso terapêutico , Pessoa de Meia-Idade , Poliendocrinopatias Autoimunes/complicações , Poliendocrinopatias Autoimunes/diagnóstico , Poliendocrinopatias Autoimunes/tratamento farmacológico , Poliendocrinopatias Autoimunes/patologia , Redução de PesoRESUMO
El diagnóstico de esta entidad se basa en cuatro criterios, la presencia de diarrea crónica (más de 6 semanas), un cuadro clínico compatible con malabsorción, una histología específica, la exclusión de otras enfermedades que pueden cursar de forma similar y la presencia de autoanticuerpos específicos como pueden ser los anticuerpos entienterocito y anticélula caliciforme. Presentamos a continuación el caso de un paciente de 63 años de edad con un cuadro clínico que consiste en diarrea crónica, pérdida de peso e importante repercusión en su estado nutricional (AU)
Autoimmune enteropathy (AIE) is an infrequent cause of malabsorption that is usually associated with the presence of circulating autoantibodies and a predisposition to autoimmune disorders. This disease is more frequent in children.The diagnosis of this disorder is based on five criteria: chronic diarrhea (>6 weeks), malabsorption, specific histological findings, exclusion of similar disorders, and the presence of specific antibodies such as anti-enterocyte and anti-goblet cell antibodies. We present the case of a 63-year-old patient with chronic diarrhea, weight loss and significant deterioration of nutritional status (AU)