title: [Collagenous sprue: secondary or independent from celiac disease?].
abstract: Collagenous sprue is a rare disease that goes with persistent diarrhea, weight loss and bad absortion, because it affects the small intestine, mainly duodenum and proximal jejunum. Diagnosis is made by having clinical signs and histological proof of atrophy and subepitelial deposit of collagenous material. Its etiology is not known completely, it is proposed that the origin is autoimmune because its relationship with celiac disease. Also there is a proposal that is a celiac evolution to gluten free diet. Is because this is not clear that we present a case of a patient with bad absorptive diarrhea and a clinical expression of collagenous sprue, that had a great clinical response to corticosteroids with home parenteral nutrition center.
authors.affiliation: Servicios de Patología Digestiva, Consorcio Hospital General Universitario de Valencia. Valencia, España.
authors.forename: Carlos
authors.initials: C
authors.lastname: Alventosa Mateu
authors.affiliation: Servicios de Patología Digestiva, Consorcio Hospital General Universitario de Valencia. Valencia, España.
authors.forename: Laura
authors.initials: L
authors.lastname: Larrey Ruiz
authors.affiliation: Servicios de Patología Digestiva, Consorcio Hospital General Universitario de Valencia. Valencia, España.
authors.forename: Maria Dolores
authors.initials: MD
authors.lastname: Pérez Zahonero
authors.affiliation: Servicios de Anatomía Patológica, Consorcio Hospital General Universitario de Valencia. Valencia, España.
authors.forename: Atilio Javier
authors.initials: AJ
authors.lastname: Navarro Gonzales
authors.affiliation: Servicios de Patología Digestiva, Consorcio Hospital General Universitario de Valencia. Valencia, España.
authors.forename: Pilar
authors.initials: P
authors.lastname: Canelles Gamir
authors.affiliation: Servicios de Patología Digestiva, Consorcio Hospital General Universitario de Valencia. Valencia, España.
authors.forename: José María
authors.initials: JM
authors.lastname: Huguet Malavés
authors.affiliation: Servicios de Patología Digestiva, Consorcio Hospital General Universitario de Valencia. Valencia, España.
authors.forename: María Soledad
authors.initials: MS
authors.lastname: Luján Sanchís
authors.affiliation: Servicios de Anatomía Patológica, Consorcio Hospital General Universitario de Valencia. Valencia, España.
authors.forename: Miguel Ángel
authors.initials: MÁ
authors.lastname: Martorell Cebollada
authors.affiliation: Servicios de Patología Digestiva, Consorcio Hospital General Universitario de Valencia. Valencia, España.
authors.forename: Enrique
authors.initials: E
authors.lastname: Medina Chuliá
mesh_terms: D000368:Aged; D002446:Celiac Disease / Q000150:complications / Q000175:diagnosis*; D064068:Collagenous Sprue / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans