title: [Collagenous gastritis and ileo-colitis occurred in autoimmune context: report of a case and review of the literature].
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.
authors.affiliation: 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
authors.forename: Gilles
authors.initials: G
authors.lastname: Macaigne
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Boivin
authors.forename: Florence
authors.initials: F
authors.lastname: Harnois
authors.forename: Claude
authors.initials: C
authors.lastname: Chayette
authors.forename: Dorian
authors.initials: D
authors.lastname: Dikov
authors.forename: Sadek
authors.initials: S
authors.lastname: Cheaib
authors.forename: Marie-Luce
authors.initials: ML
authors.lastname: Auriault
mesh_terms: 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
chemical_list: D000893:Anti-Inflammatory Agents; D019819:Budesonide; D003094:Collagen