[PAGID] Autoinmmune enteropathy?

[YaeJean Kim]

In addition, any possibility for eosinophilic gastroenteritis?

Sometimes they don’t have eosinophilia in the blood....

 

YJ

 

-----------------------------------------------

YaeJean Kim, MD

 

Assistant Professor 

50 Irwon-dong Gangnam-gu

Division of Infectious Diseases

Department of Pediatrics

Samsung Medical Center

Sungkyunkwan University

Seoul, 135-710

South Korea

tel) 82-2-3410-3539, 0987

fax) 82-2-3410-0043

yaejeankim at skku.edu

 

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From: pagid-bounces at list.clinimmsoc.org
[mailto:pagid-bounces at list.clinimmsoc.org] On Behalf Of Nacho Gonzalez
Sent: Monday, August 10, 2009 10:53 PM
To: pagid at list.clinimmsoc.org
Subject: Re: [PAGID] Autoinmmune enteropathy?

 

normal stool D/R. worm infestations ruled out

 

Nacho Gonzalez Granado

 

2009/8/10, Sabiha Anis <sabiha_anis at hotmail.com>: 

What are the results of stool D/R.  Have you ruled out worm infestations?
 
Regards
Sabiha anis
 

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Date: Fri, 7 Aug 2009 14:00:55 +0200
From: nachgonzalez at gmail.com
To: pagid at list.clinimmsoc.org
Subject: [PAGID] Autoinmmune enteropathy?

7 year old female (RM)  with severe chronic diarrea with neonatal onset.
Cuacasian. She has persistent malabsortion. She required parenteral
nutrition when she was eighteen month old (for severe malnutrition).
Intestinal biopsy (2002): moderate partial vellous atrophy. 

 

Her sister (AM) suffers from refractory celiac disease (CD) with persistent
antigliadin and antitransglutaminase positive despite strictly gluten free
diet. 

 

The patient (RM) presents negative celiac serology. HLA is not compatible
with celiac disease.  Intraepitelial lymphocytes are not compatible with CD
(in 2002 and now). Antienterocyte antibodies are also negative (in 2002 and
now).  CD25+ and FOXP3+ are in normal  range (this month). She has
persistent IgE elevation (around 1000 IU/mL). Anti TPO levels were slightly
elevated once (Dec´08) but now are in normal range. Anti PCA (parietal cell
antibodies are slightly positive: 1/80 ) ANA + 1/40 (normal) .  We have
ruled out food allergies.  IgG,A,M normal. Lymphocyte subpopulations:
normal.

She is now admitted for severe diarrhea and malnutrition. 

 

We are not sure about starting steroid therapy. We'd really appreciate
helpful suggestions about diagnosis and treatment.





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