Department of Internal Medicine, University of Connecticut, Farmington, CT 06032, USA.
J Clin Gastroenterol. 2011 Oct;45(9):794-9. doi: 10.1097/MCG.0b013e31820c6018.
Collagenous gastroduodenitis is a rare histopathologic entity characterized by marked subepithelial collagen deposition with associated mucosal inflammatory infiltrate. Only 4 cases have been reported, of which 3 had associated collagenous colitis. Collagenous gastroduodenitis without colonic involvement is exceptionally rare with only 1 case reported so far in the literature. We present a case of a 68-year-old woman with dyspepsia and mild anemia, who was found to have nodular gastric and duodenal mucosa on endoscopic examination. Histopathology showed collagenous gastroduodenitis. To the best of our knowledge, this is the second (and first in English literature) reported case of isolated collagenous gastroduodenitis.
胶原性胃炎-十二指肠炎是一种罕见的组织病理学实体,其特征是明显的上皮下胶原沉积,并伴有黏膜炎症浸润。仅有 4 例报告,其中 3 例伴有胶原性结肠炎。无结肠累及的胶原性胃炎-十二指肠炎极为罕见,文献中迄今仅报告 1 例。我们报告 1 例 68 岁女性,因消化不良和轻度贫血就诊,内镜检查发现胃和十二指肠黏膜呈结节状。组织病理学显示胶原性胃炎-十二指肠炎。据我们所知,这是第二例(也是首例英文文献报道)孤立性胶原性胃炎-十二指肠炎病例。