Title
Concurrent lymphocytic colitis and microscopic enteritis in patients with chronic diarrhea
Other title
[Coexistencia de colitis linfocítica y enteritis microscópica en pacientes con diarrea crónica]
Date Issued
01 October 2017
Access level
metadata only access
Resource Type
journal article
Publisher(s)
Sociedad De Gastroenterologia Del Peru
Abstract
INTRODUCTION: Lymphocytic colitis and microscopic enteritis are relatively common causes of chronic diarrhea and it is characterized by an intraepithelial lymphocytic infiltrate. There have been no previous reports of coexistence between these 2 pathologies. OBJECTIVE: To describe histological and clinical characteristic in patients with coexistence of lymphocytic colitis and microscopic enteritis. MATERIAL AND METHODS: All cases with simultaneous diagnosis of lymphocytic duodenosis and lymphocytic colitis were reevaluated during lapse time 2010-2016 in hospital Daniel Carrion. The slides were reviewed by 3 pathologists and clinical information was obtained from clinical records. Expression of CD3 and CD8 was detected in 6 cases by immunohistochemical assays. RESULTS: A total of 35 patients with coexistence of lymphocytic duodenitis and lymphocytic colitis were selected of the pathology archives, 80% were females, Anemia was identified in 28.5% of patients. Blastocysitis hominis infestation was identified in 31.8%. The mean intraepithelial lymphocyte CD8 and CD3 positive was 40% in microscopic enteritis, while the mean intraepithelial lymphocyte CD3 positive was 37.2% and CD8 positive was 29.2% Additionally, lymphocytic ileitis was diagnosed in 11 of our cases. Eosinophilic colitis was diagnosed in 9 cases of lymphocytic colitis Conclusion: We found that lymphocytic colitis, microscopic enteritis and even lymphocytic ileitis can coexist in a group of patients with chronic diarrhea. These findings bring the question if this concurrence of both pathologies constituted a more generalized gastrointestinal disorder, involving both the large and the small intestines.
Start page
340
End page
345
Volume
37
Issue
4
Language
Spanish
OCDE Knowledge area
Oncología Gastroenterología, Hepatología
Scopus EID
2-s2.0-85053350917
PubMed ID
Source
Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru
Resource of which it is part
Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru
Sources of information: Directorio de Producción Científica Scopus