2012, Number 3
<< Back Next >>
Acta Med Cent 2012; 6 (3)
Microscopic enteritis. Report of three cases
Ramos VJ, Roche AC, Expósito BM
Language: Spanish
References: 10
Page:
PDF size: 245.02 Kb.
ABSTRACT
Microscopic enteritis and colitis are characterized clinically by chronic diarrhea syndrome and normal endoscopic studies of ileum and colon. The cases of two patients with clinical symptoms of chronic diarrhea syndrome and normal endoscopies are reported. They underwent biopsies of terminal ileum with an anatomopathological diagnosis of lymphocytic ileitis, one of them associated with mixed connective tissue disease, and the other with celiac disease – a review of disease was conducted. A third case is also reported; a patient who presented, clinically and likewise, a chronic diarrhea syndrome with normal colonoscopic study, but the histological study showed criteria for a diagnosis of collagenous colitis not associated with another disease. When there is a diagnosis of microscopic colitis or enteritis, it is important to evaluate the patient comprehensively and look for the possible disease or causal agent. Additionally, and depending on the clinical data provided, the specialist in Anatomic Pathology may express in the biopsy reports the possible associated diseases, thus contributing to a more precise diagnosis and implementation of individualized treatment.
REFERENCES
Vijayalakshmi Padmanabhan MD, Peter W, Callas PD, Shuan C, Li MD, Thomas D, et al. Histopathological Features of the Terminal Ileum in Lymphocytic and Collagenous Colitis: A Study of 32 Cases and Review of Literature. Mod Pathol. 2003; 16(2): 115–19.
Bandovic J, Jain S, Singh C. Colon Tumor [sede Web] New YorK: PathologyOutlines.com, Inc; c) 2003-2012, [actualizado 25 de mayo de 2012; acceso 28 de agosto de 2012]. Disponible en: http://www.pathologyoutlines.com/colon.html
Robert E, Petras RE, Frankel WI, Large Intestine (Colon). En: Weidner N. Modern surgical pathology. Vol I. 2nd ed. España: Elsevier Imprint; 2009. p. 787-98.
Sveinsson OA, Orvar KB, Birgisson S, Jonasson JG. Microscopic colitis – review. Laeknabladid. 2008 may; 94(5): 363-70.
Nyhlin N, Bohr J, Eriksson S, Tysk C. Microscope colitis: A common and an easily overlooked cause of chronic diarrhea. Eur J Int Med. 2008; 19: 181-6.
Dickson BC, Streutker CJ, Chetty R. Coeliac disease: an update for pathologists. J Clin Pathol. 2006; 59: 1008-16.
Blair JE, Petras RE. Gastrointestinal System. En: Gattuso P. Differential diagnosis in surgical pathology [CD-ROM]. 2nd ed. España: Elsevier Imprint; 2009. p. 372-6.
Fenoglio-Preiser CM. The Nonneoplastic Colon. En: Gastrointestinal Pathology: An Atlas and Text. 3ra ed. Philadelphia: Lippincott Williams & Wilkins; 2008. p. 844-8.
Da Silva JG, De Brito T, Cintra Damiao AO, Laudanna AA, Sipahi AM. Histologic study of colonic mucosa in patients with chronic diarrhea and normal colonoscopic findings. J Clin Gastroenterol. 2006 jan; 40: 44-8.
Tysk C, Bohr J, Olesen M, Eriksson S, Järnerot G. Microscopic colitis--more common cause of diarrhea than believed. Biopsies are the only way to diagnosis, drug treatment is effective. Lakartidningen. 2005 aug 8-21; 102(32-33): 2210-4.