Asunto(s)
Antiinflamatorios/administración & dosificación , Anticuerpos Monoclonales/administración & dosificación , Enfermedad de Crohn/complicaciones , Enfermedad de Crohn/diagnóstico , Fármacos Gastrointestinales/administración & dosificación , Síndrome de Melkersson-Rosenthal/tratamiento farmacológico , Síndrome de Melkersson-Rosenthal/etiología , Adolescente , Enfermedad de Crohn/tratamiento farmacológico , Femenino , Humanos , Infliximab , Perfusión , Resultado del TratamientoRESUMEN
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.
Asunto(s)
Antiinflamatorios/uso terapéutico , Enfermedades Autoinmunes/tratamiento farmacológico , Budesonida/uso terapéutico , Colitis Colagenosa/tratamiento farmacológico , Gastritis/tratamiento farmacológico , Ileítis/tratamiento farmacológico , Anciano , Enfermedades Autoinmunes/metabolismo , Colitis Colagenosa/complicaciones , Colitis Colagenosa/inmunología , Colágeno/metabolismo , Femenino , Mucosa Gástrica/metabolismo , Mucosa Gástrica/patología , Gastritis/complicaciones , Gastritis/inmunología , Gastritis/metabolismo , Enfermedad de Hashimoto/complicaciones , Humanos , Ileítis/complicaciones , Ileítis/inmunologíaRESUMEN
Filiform polyposis or giant inflammatory polyp is an uncommon benign lesion that has principally been reported in patients with evidence of inflammatory bowel disease, Crohn's disease or ulcerative colitis. It appears to be a sequella of diffuse mucosal inflammation. More rarely, PF found in association with colonic non specific inflammation. PF has rarely been reported in patients without previous colonic disease. We report the case of a 60-year-old woman without history of colonic disease who presented a PF revealed by hematochesia.
Asunto(s)
Pólipos del Colon/diagnóstico , Hemorragia Gastrointestinal/etiología , Pólipos del Colon/complicaciones , Pólipos del Colon/cirugía , Colonoscopía , Femenino , Estudios de Seguimiento , Humanos , Persona de Mediana Edad , Recto , Factores de Tiempo , Resultado del TratamientoRESUMEN
Cytomegalovirus (CMV) infection of the gastrointestinal tract occurs mainly in immunosuppressed patients. We report here the case of a 76-Year-old woman, without obvious cause of immunosuppression, who developed severe proctitis. The clinical course was favourable with ganciclovir therapy. In the absence of controlled data in the field of CMV intestinal infections in immunocompetents, we discuss the potential benefit of an antiviral therapy in those patients who do not recover rapidly and spontaneously.
Asunto(s)
Infecciones por Citomegalovirus/diagnóstico , Proctocolitis/diagnóstico , Proctocolitis/virología , Neoplasias del Recto/diagnóstico , Enfermedad Aguda , Anciano , Infecciones por Citomegalovirus/inmunología , Diagnóstico Diferencial , Femenino , HumanosAsunto(s)
Colitis Isquémica/inducido químicamente , Indoles/efectos adversos , Piperidinas/efectos adversos , Agonistas de Receptores de Serotonina/efectos adversos , Vasoconstrictores/efectos adversos , Femenino , Humanos , Persona de Mediana Edad , Trastornos Migrañosos/tratamiento farmacológico , TriptaminasRESUMEN
Hepatocellular carcinoma is a malignant tumor with a poor prognosis, particularly when it is unresectable. The results of tamoxifen treatment in hepatocellular carcinoma have been disappointing and randomized studies have shown conflicting results. We report the case of a 72-yr-old-man with histologically confirmed hepatocellular carcinoma on a normal liver, that regressed with tamoxifen treatment. Regression was confirmed by normalization of serum alpha-fetoprotein levels and a significant decrease in radiological lesions by 66%. The patient was alive in excellent clinical condition more than 30 months after the initial diagnosis.