Assuntos
Anti-Inflamatórios/administração & dosagem , Anticorpos Monoclonais/administração & dosagem , Doença de Crohn/complicações , Doença de Crohn/diagnóstico , Fármacos Gastrointestinais/administração & dosagem , Síndrome de Melkersson-Rosenthal/tratamento farmacológico , Síndrome de Melkersson-Rosenthal/etiologia , Adolescente , Doença de Crohn/tratamento farmacológico , Feminino , Humanos , Infliximab , Perfusão , Resultado do TratamentoRESUMO
Collagenous colitis belongs to the group of microscopic colitis. The aetiology and pathogenesis are unknown but different pathogenic hypothesis, autoimmune, infectious, alimentary and medicinal being are advanced, the last one being the most frequent aetiology. The collagenous gastritis is a rare entity and its association with collagenous colitis was exceptionally reported, only six cases being published. We report the seventh case of collagenous gastritis, ileitis and colitis in a 75-year-old woman with chronic diarrhea and important weight loss. This thickened subepithelial collagen band was appeared in an autoimmune injury context with antecedent of Hashimoto's thyroiditis and probably chronic atrophic Biermer's gastritis. The clinical and histological evolution was favourable with budesonide.
Assuntos
Anti-Inflamatórios/uso terapêutico , Doenças Autoimunes/tratamento farmacológico , Budesonida/uso terapêutico , Colite Colagenosa/tratamento farmacológico , Gastrite/tratamento farmacológico , Ileíte/tratamento farmacológico , Idoso , Doenças Autoimunes/metabolismo , Colite Colagenosa/complicações , Colite Colagenosa/imunologia , Colágeno/metabolismo , Feminino , Mucosa Gástrica/metabolismo , Mucosa Gástrica/patologia , Gastrite/complicações , Gastrite/imunologia , Gastrite/metabolismo , Doença de Hashimoto/complicações , Humanos , Ileíte/complicações , Ileíte/imunologiaRESUMO
Cytomegalovirus (CMV) infection of the gastrointestinal tract occurs mainly in immunosuppressed patients. We report here the case of a 76-Year-old woman, without obvious cause of immunosuppression, who developed severe proctitis. The clinical course was favourable with ganciclovir therapy. In the absence of controlled data in the field of CMV intestinal infections in immunocompetents, we discuss the potential benefit of an antiviral therapy in those patients who do not recover rapidly and spontaneously.
Assuntos
Infecções por Citomegalovirus/diagnóstico , Proctocolite/diagnóstico , Proctocolite/virologia , Neoplasias Retais/diagnóstico , Doença Aguda , Idoso , Infecções por Citomegalovirus/imunologia , Diagnóstico Diferencial , Feminino , HumanosRESUMO
Villous atrophy of the terminal ileum is usually secondary to celiac disease or other diseases. Very few cases of primary ileal villous atrophy have been reported in the literature. We report here the case of a 37-year-old man with chronic diarrhea since childhood without features of malabsorption. The macroscopic and microscopic appearance of the duodenal, ileal and colonic mucosae at endoscopy and contrast radiography of the small bowel was normal. Ileal lesions consisted of total villous atrophy. Search for antinuclear antibodies, anti-endomysium and anti-gliadin IgA and IgG and HIV serology were negative. Serum immunoglobulin level was normal. Diarrhea resolved under treatment with colestyramine.
Assuntos
Diarreia/etiologia , Íleo/patologia , Mucosa Intestinal/patologia , Adulto , Atrofia , Doença Crônica , Humanos , MasculinoAssuntos
Alcoolismo/complicações , Antidepressivos Tricíclicos/efeitos adversos , Doença Hepática Induzida por Substâncias e Drogas/etiologia , Hepatite C Crônica/complicações , Tiazepinas/efeitos adversos , Alanina Transaminase/sangue , Fosfatase Alcalina/sangue , Antidepressivos Tricíclicos/metabolismo , Aspartato Aminotransferases/sangue , Biópsia por Agulha , Doença Hepática Induzida por Substâncias e Drogas/diagnóstico , Doença Hepática Induzida por Substâncias e Drogas/metabolismo , Humanos , Masculino , Pessoa de Meia-Idade , Tiazepinas/metabolismo , Fatores de TempoAssuntos
Cocaína/efeitos adversos , Pancreatite/induzido quimicamente , Doença Aguda , Adulto , Feminino , HumanosAssuntos
Colite Isquêmica/induzido quimicamente , Indóis/efeitos adversos , Piperidinas/efeitos adversos , Agonistas do Receptor de Serotonina/efeitos adversos , Vasoconstritores/efeitos adversos , Feminino , Humanos , Pessoa de Meia-Idade , Transtornos de Enxaqueca/tratamento farmacológico , TriptaminasRESUMO
Hepatocellular carcinoma is a malignant tumor with a poor prognosis, particularly when it is unresectable. The results of tamoxifen treatment in hepatocellular carcinoma have been disappointing and randomized studies have shown conflicting results. We report the case of a 72-yr-old-man with histologically confirmed hepatocellular carcinoma on a normal liver, that regressed with tamoxifen treatment. Regression was confirmed by normalization of serum alpha-fetoprotein levels and a significant decrease in radiological lesions by 66%. The patient was alive in excellent clinical condition more than 30 months after the initial diagnosis.