ncomplete constitutional syndrome secondary to isolated jejunal Crohn's disease

Authors

  • José Manuel Pérez-Díaz Servicio de Medicina Interna, Hospital Comarcal de la Axarquía, Vélez-Malaga (Málaga), Spain
  • Rafael Esteban Carvia-Ponsaillé Servicio de Anatomía Patológica, Hospital Comarcal de la Axarquía, Velez-Málaga (Málaga), Spain
  • Emilio Santín-Piñero Servicio de Medicina Interna, Hospital Comarcal de la Axarquía, Velez-Málaga (Málaga), España
  • María Navarrete-de Gálvez Servicio de Medicina Interna, Hospital Comarcal de la Axarquía, Velez-Málaga (Málaga), Spain
  • Pedro Medina-Delgado Servicio de Medicina Interna, Hospital Comarcal de la Axarquía, Velez-Málaga (Málaga), Spain

DOI:

https://doi.org/10.32818/reccmi.a1n1a13

Keywords:

Crohn's disease, duodenosis lymphocytic, capsule endoscopy

Abstract

A 36-year-old Senegalese woman with incomplete constitutional syndrome, slightly more than one year of evolution, with presence of bowel pains, vomits, diarrhea and iron deficiency anemia. Early diagnosis studies about parasite, digestive (including celiac disease), endocrine-metabolic, gynecologic and tumor diseases are conducted, with negative results. During the evolution the patient is histopathologically diagnosed with duodenosis lymphocytic, presenting a vast array of possibilities. By exclusion, we centered our suspicions on a disease located in the small intestine, using (capsule) endoscopy. This shows jejunal erosive injuries and annular stenosis. These clinical findings suggest a diagnosis of inflammatory bowel disease, starting the treatment with prednisone, with a good response.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

García de Tena J, Manzano Espinosa L, Leal Berral JC, Álvarez-Mon Soto M. Enfermedad de Crohn. Manifestaciones clínicas. Medicine. 2004; 9(5): 341-8.

Calvo Hernán F, Hinojosa del Val J. Enfermedad inflamatoria del tubo digestivo. Enfermedad de Crohn. Medicine. 2008; 10(5): 275-83.

Jiménez Sáenz M, García Montes JM, Pallarés Manrique H, Herrerías Gutiérrez JM. Enfermedad de Crohn yeyunal aislada. An Med Interna. 1996; 13(6): 279-81.

López San Román A, Rivero Fernández M. Estado actual del tratamiento de la enfermedad inflamatoria intestinal. Rev Clin Esp. 2007; 207: 298-300.

Marsh M. Gluten, major histocompatibility complex, and the small intestine. A molecular and immunobiologic approach to the spectrum of gluten sensitivity (‘celiac sprue’). Gastroenterology. 1992; 102: 330-54.

Rosinach M, Esteve M, González C, Temino R, Marine M, Monzón H, et al. Lymphocytic duodenosis: Aetiology and long-term response to specific treatment. Dig Liver Dis. 2012; 44: 643-8.

Santolaria S, Domínguez M, Alcedo J, Montoro M. Duodenosis linfocítica: estudio etiológico y formas de presentación clínica. Gastroenterol Hepatol. 2013; 36(9): 565-73.

Published

2016-12-31

How to Cite

1.
Pérez-Díaz JM, Carvia-Ponsaillé RE, Santín-Piñero E, Navarrete-de Gálvez M, Medina-Delgado P. ncomplete constitutional syndrome secondary to isolated jejunal Crohn’s disease. Rev Esp Casos Clin Med Intern [Internet]. 2016 Dec. 31 [cited 2024 Dec. 26];1(1):32-4. Available from: https://www.reccmi.com/RECCMI/article/view/57