[PAGID] Autoinmmune enteropathy?
Nacho Gonzalez
nachgonzalez at gmail.com
Wed Aug 12 05:35:47 EDT 2009
yes, but no eosinophils in gastric biopsythanks,
Luis I. Gonzalez Granado
2009/8/12 YaeJean Kim <yaejeankim at skku.edu>
> 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
>
>
> ------------------------------
>
> *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
>
> ------------------------------
>
> 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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