[Collagenous sprue: secondary or independent from celiac disease?].

Abstract

Collagenous sprue is a rare disease that goes with persistent diarrhea, weight loss and bad absortion, because it affects the small intestine, mainly duodenum and proximal jejunum. Diagnosis is made by having clinical signs and histological proof of atrophy and subepitelial deposit of collagenous material. Its etiology is not known completely, it is proposed that the origin is autoimmune because its relationship with celiac disease. Also there is a proposal that is a celiac evolution to gluten free diet. Is because this is not clear that we present a case of a patient with bad absorptive diarrhea and a clinical expression of collagenous sprue, that had a great clinical response to corticosteroids with home parenteral nutrition center.

• Authors: Carlos Alventosa Mateu, Laura Larrey Ruiz, Maria Dolores Pérez Zahonero, Atilio Javier Navarro Gonzales, Pilar Canelles Gamir, José María Huguet Malavés, María Soledad Luján Sanchís, Miguel Ángel Martorell Cebollada, Enrique Medina Chuliá
• Journal: Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru (Rev Gastroenterol Peru) 2014 Oct-Dec Vol. 34 Issue 4 Pg. 333-7 ISSN: 1609-722X [Electronic] Peru
• Vernacular Title: Esprúe colágeno: ¿entidad secundaria o independiente de la enfermedad celíaca?
• PMID: 25594758 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Celiac Disease (complications, diagnosis)
• Collagenous Sprue (diagnosis, etiology)
• Diagnosis, Differential
• Female
• Humans