[Collagenous gastritis and ileo-colitis occurred in autoimmune context: report of a case and review of the literature].
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.
Macaigne
Gilles
G
Service d'hépato-gastroentérologie, hôpital de Lagny-Marne-la-Vallée, 34 avenue du Général-Leclerc, 77405 Lagny-sur-Marne cedex, France. gmacaigne@ch-lagny77.fr
Boivin
Jean-François
JF
Harnois
Florence
F
Chayette
Claude
C
Dikov
Dorian
D
Cheaib
Sadek
S
Auriault
Marie-Luce
ML
D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D001327:Autoimmune Diseases / Q000188:drug therapy* / Q000378:metabolism; D019819:Budesonide / Q000627:therapeutic use*; D046729:Colitis, Collagenous / Q000150:complications / Q000188:drug therapy* / Q000276:immunology; D003094:Collagen / Q000378:metabolism; D005260:Female; D005753:Gastric Mucosa / Q000378:metabolism / Q000473:pathology; D005756:Gastritis / Q000150:complications / Q000188:drug therapy* / Q000276:immunology / Q000378:metabolism; D050031:Hashimoto Disease / Q000150:complications; D006801:Humans; D007079:Ileitis / Q000150:complications / Q000188:drug therapy* / Q000276:immunology
D000893:Anti-Inflammatory Agents; D019819:Budesonide; D003094:Collagen