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[自身免疫背景下发生的胶原性胃炎和回结肠炎症:1例报告及文献复习]

[Collagenous gastritis and ileo-colitis occurred in autoimmune context: report of a case and review of the literature].

作者信息

Macaigne Gilles, Boivin Jean-François, Harnois Florence, Chayette Claude, Dikov Dorian, Cheaib Sadek, Auriault Marie-Luce

机构信息

Service d'hépato-gastroentérologie, hôpital de Lagny-Marne-la-Vallée, 34 avenue du Général-Leclerc, 77405 Lagny-sur-Marne cedex, France.

出版信息

Gastroenterol Clin Biol. 2010 Sep;34(8-9):e1-6. doi: 10.1016/j.gcb.2009.06.020. Epub 2010 Jul 15.

Abstract

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.

摘要

胶原性结肠炎属于显微镜下结肠炎。其病因和发病机制尚不清楚,但提出了不同的致病假说,包括自身免疫、感染、饮食和药物因素,其中最后一种是最常见的病因。胶原性胃炎是一种罕见疾病,其与胶原性结肠炎的关联仅有六例报道。我们报告了一名75岁患有慢性腹泻和显著体重减轻的女性患者,这是第七例胶原性胃炎、回肠炎和结肠炎病例。这种上皮下胶原带增厚出现在自身免疫损伤背景下,患者有桥本甲状腺炎病史,可能还有慢性萎缩性比尔默胃炎。使用布地奈德后临床和组织学演变良好。

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