scholarly journals Collagenous colitis presenting with bloody diarrhea and rectal erosions in a patient with celiac disease: a case report

2013 ◽  
pp. 254-258
Author(s):  
Antonio Carroccio ◽  
Tiziana Catalano ◽  
Marilena Fiorino ◽  
Accursia Bongiovì ◽  
Giuseppe Napoli ◽  
...  
Keyword(s):  
Celiac Disease ◽  
Case Report ◽  
Oral Prednisone ◽  
Collagenous Colitis ◽  
Rare Condition ◽  
Bloody Diarrhea ◽  
Watery Diarrhea ◽  
Strict Adherence ◽  
Bowel Diseases ◽  
One Year

Introduction: Collagenous colitis (CC) is a rare condition that is known to complicate inflammatory bowel diseases, but its relationship with celiac disease (CD) is more controversial. Aims: To report a case of CC that developed in a patient with CD and was manifested by rectal erosions at onset. Case report: A 46-year-old woman was diagnosed with CD and placed on a gluten-free diet. After an initial phase of improvement, her diarrhea resumed, and she began to lose weight. Despite strict adherence to the diet, the patient's diarrhea worsened. One year after diagnosis, colonoscopy was performed and mucosal biopsies were collected, but the findings were inconclusive. Two months later, the previously watery diarrhea became bloody, and a second colonoscopy was performed. Histological examination of the biopsy specimens revealed rectal erosions and CC. The patient was treated with oral prednisone plus mesalazine for 6 weeks, and her symptoms immediately disappeared. Mesalazine was continued, and the prednisone was then gradually replaced with budesonide. Six months after the CC diagnosis, the patient was asymptomatic, and a second colonoscopy revealed no macroscopic or microscopic signs of CC. She continues to take mesalazine and budesonide. An attempt to taper the dosage of the latter drug from 6 to 3 mg/day caused the reappearance of the diarrhea. Conclusion: CC is rarely associated to CD and can cause bloody diarrhea. Excellent results were obtained in this case with prednisone plus mesalazine followed by maintenance therapy with budesonide plus mesalazine.

scholarly journals Collagenous colitis presenting with bloody diarrhea and rectal erosions in a patient with celiac disease: a case report

2010 ◽  
Vol 4 (4) ◽  
pp. 254-258 ◽  
Author(s):  
Antonio Carroccio ◽  
Tiziana Catalano ◽  
Marilena Fiorino ◽  
Accursia Bongiovì ◽  
Giuseppe Napoli ◽  
...  
Keyword(s):  
Celiac Disease ◽  
Case Report ◽  
Collagenous Colitis ◽  
Bloody Diarrhea

Long-term Uncontrolled Hereditary Gingival Fibromatosis: A Case Report

2007 ◽  
Vol 8 (1) ◽  
pp. 90-96 ◽  
Author(s):  
Dilek Şengün ◽  
Hasan Hatipoğlu ◽  
Müjgan Güngör Hatipoğlu
Keyword(s):  
Case Report ◽  
Rare Condition ◽  
Gingival Hyperplasia ◽  
Gingival Overgrowth ◽  
Mucoperiosteal Flap ◽  
Gingival Fibromatosis ◽  
Mandibular Teeth ◽  
One Year ◽  
Almost All

Abstract Hereditary gingival fibromatosis (HGF) is a rare condition characterized by varying degrees of gingival hyperplasia. Gingival fibromatosis usually occurs as an isolated disorder or can be associated with a variety of other syndromes. A 33-year-old male patient who had a generalized severe gingival overgrowth covering two thirds of almost all maxillary and mandibular teeth is reported. A mucoperiosteal flap was performed using interdental and crevicular incisions to remove excess gingival tissues and an internal bevel incision to reflect flaps. The patient was treated 15 years ago in the same clinical facility using the same treatment strategy. There was no recurrence one year following the most recent surgery. Citation Şengün D, Hatipoğlu H, Hatipoğlu MG. Long-term Uncontrolled Hereditary Gingival Fibromatosis: A Case Report. J Contemp Dent Pract 2007 January;(8)1:090-096.

scholarly journals A Case Report on Autoimmune Thyroid Disease (ATD) Associated with Chronic Angioedema

2021 ◽  
pp. 10-13
Author(s):  
K. Shivaraju ◽  
Mandhala Saikrishna ◽  
Billakuduru Srija ◽  
Akhil Aakunuri
Keyword(s):  
Internal Medicine ◽  
Case Report ◽  
Blood Vessels ◽  
Thyroid Disease ◽  
Autoimmune Thyroid Disease ◽  
Rare Condition ◽  
Thyroid Peroxidase ◽  
Autoimmune Thyroid ◽  
One Year ◽  
Surrounding Skin

Angioedema may be a rare condition that manifests itself by abrupt localized edema caused by the fluid outflow from blood vessels into surrounding skin and tissue. This case report presents a 54-year old male patient with chronic angioedema (lip) for one year without urticaria. Six months ago, he approached the local clinic and used regular antihistamines by the physician advice. Still, there was no improvement in patient condition. Then he came to the outpatient department of internal medicine of our hospital. Therefore, we have done a series of investigations, in then he diagnosed with Hypothyroidism (TSH 8.05UIu/ml). Then he has prescribed levothyroxine 25mcg. After one month's review, he examined for Anti-thyroid peroxidase antibodies (Anti-TPO). In that examination, those were positive or elevated (mild). According to our research, this may probably be the first autoimmune thyroid disease associated with chronic angioedema without urticaria or hives.

scholarly journals Pheochromocytoma of the urinary bladder - a case report

2016 ◽  
Vol 73 (6) ◽  
pp. 584-587 ◽  
Author(s):  
Predrag Maric ◽  
Novak Milovic ◽  
Vladimir Bancevic ◽  
Branko Kosevic ◽  
Predrag Aleksic ◽  
...  
Keyword(s):  
Case Report ◽  
Urinary Bladder ◽  
Bladder Wall ◽  
Rare Condition ◽  
Excessive Sweating ◽  
Efficient Treatment ◽  
The Face ◽  
131I Mibg ◽  
History Of ◽  
One Year

Introduction. Pheochromocytoma of the urinary bladder is a rare tumor and presents less than 0.06% of all urinary bladder tumors. Case report. We presented a 49-year-old female patient with a history of daily paroxysmal hypertension accompanied with flushing of the face and upper chest, palpitations and excessive sweating prior to micturition. Ultrasonography reported a 3 cm bladder wall tumor. The 131I-metaiodobenzylguanidine (131I-MIBG) scan showed a pathological isotope accumulation in the projection of the bladder. The patient underwent a partial cystectomy. One year following the operation the patient was normotensive and without recurrence. Conclusion. The most efficient treatment option for bladder pheochromocytoma is surgical resection. The most important fact in the diagnostics is suspicion on this rare condition.

A Rare Case of non Syndromic Congenital Idiopathic Gingival Fibromatosis: Electrosurgical Management

2020 ◽  
Vol 44 (5) ◽  
pp. 352-355
Author(s):  
Parul Singhal ◽  
Ritu Namdev ◽  
Heena Sarangal ◽  
Saurabh Narang
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Primary Teeth ◽  
Rare Condition ◽  
Permanent Dentition ◽  
Heterogeneous Condition ◽  
Hyperplastic Tissue ◽  
Gingival Fibromatosis ◽  
One Year ◽  
Excised Tissue

Idiopathic gingival fibromatosis (IGF) is a rare, genetically heterogeneous condition that is usually a part of syndrome or, rarely, an isolated disorder. It is characterized by a slowly progressive, non hemorrhagic, fibrous enlargement of keratinized gingiva which usually begins at the time of eruption of permanent dentition, however very few cases involving the primary teeth have been described in literature. Congenital gingival fibromatosis is very rare condition in which the gingival tissues become thickened and erupting teeth remain submerged beneath hyperplastic tissue masses. This case report discusses the rare case of congenital non syndromic idiopathic gingival fibromatosis in a two year old boy who reported with absence of teeth and incompetent lips. Gingivectomy was done using modified microdissection electrocautery needle to remove the excess gingival tissues. Excised tissue has been examined histologically. The patient was followed up for a period of one year and no recurrence was observed.

Progression of Celiac Disease to Collagenous Gastritis, Collagenous Colitis and Collagenous Sprue: A Case Report

2011 ◽  
Vol 106 ◽  
pp. S198
Author(s):  
Dian Chiang ◽  
Prabhleen Chahal ◽  
Mujtaba Butt ◽  
Dipti Mahajan ◽  
John Goldblum ◽  
...  
Keyword(s):  
Celiac Disease ◽  
Case Report ◽  
Collagenous Colitis ◽  
Collagenous Gastritis

Isolated Testicular Metastasis of Prostate Cancer after Radical Prostatectomy: Case Report and Literature Review

2015 ◽  
Vol 95 (4) ◽  
pp. 483-485 ◽  
Author(s):  
Artur Gibas ◽  
Marcin Sieczkowski ◽  
Wojciech Biernat ◽  
Marcin Matuszewski
Keyword(s):  
Prostate Cancer ◽  
Case Report ◽  
Radical Prostatectomy ◽  
Literature Review ◽  
Prostate Carcinoma ◽  
Testicular Tumor ◽  
Rare Condition ◽  
Clinical Recurrence ◽  
Testicular Metastasis ◽  
One Year

Clinical recurrence of prostate cancer manifested as a testicular mass is an extremely rare condition. We report a case of a 58-year-old patient with a testicular tumor who underwent orchiectomy 7 years after radical prostatectomy. The pathology analysis confirmed metastasis from prostate carcinoma. After one year, the patient had no signs of biochemical and clinical recurrence. This argues for considering metastasectomy in such patients.

scholarly journals Human penile ossification: case report

2007 ◽  
Vol 125 (2) ◽  
pp. 124-125 ◽  
Author(s):  
Homero Oliveira de Arruda ◽  
Hudson de Lima ◽  
Valdemar Ortiz
Keyword(s):  
Case Report ◽  
Rare Condition ◽  
Penile Shaft ◽  
Palpable Mass ◽  
Slight Pain ◽  
History Of ◽  
One Year ◽  
Histological Confirmation ◽  
Metaplastic Bone ◽  
Firm Mass

CONTEXT: Ossification in the human penis is such a rare condition that only 34 histologically evident cases have previously been reported. Among several conditions that have been correlated with this problem the most frequent is Peyronie disease. In all these conditions, human penile ossification appears to be a metaplastic bone formation process. CASE REPORT: A 59-year-old white man presented with a one-year history of slight pain upon erection and during intercourse. He also complained of hard plaque near the base of the penis. One year earlier, he had sustained blunt trauma during intercourse. Examination of the penis revealed a fixed firm mass extending over the proximal third of the penile shaft, measuring 3.0 x 3.0 x 2.0 cm and involving the corporal sponge, without surface extension. There was no impotence or other relevant clinical finding. Radiography on the penis revealed irregular calcification in the same position as the palpable mass and in the septum of the proximal inner third of the penis. The importance of this report lies in the extent of the human penile ossification, as demonstrated by the radiological and histological confirmation.

scholarly journals Probiotic supplement and gluten withdrawal in gluten allergy Patients may lead to gluten tolerance: first case report

2021 ◽  
Vol 8 (7) ◽  
pp. 3603
Author(s):  
Moni Kumari ◽  
Renu Bansal ◽  
Ranjit Singh ◽  
Parveen Bansal ◽  
Malika Arora
Keyword(s):  
Celiac Disease ◽  
Case Report ◽  
Disease Patient ◽  
Celiac Disease Patient ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Probiotic Supplementation ◽  
Strict Adherence ◽  
First Case ◽  
The Subject

Probiotic species such as lactobacillus and bifidobacteria are known to have a major role in gluten digestion and regulation of proper functioning of gastrointestinal system however these are found to be missing in gluten allergy patients. So, here in this case we aimed to find the effect of probiotic supplementation along with gluten free diet in celiac disease patient. A case of an 8-year-old female child admitted to civil hospital, Faridkot with chief complaints of vomiting, diarrhea, weight loss, retarded growth, and malnutrition was studied. When she first visited the hospital, based on her symptoms, she was advised celiac disease workup and was found to be highly tTG IgA positive (10.62). The subject was shifted to a strict gluten free diet along with probiotic supplementation. The subject was regularly followed up for the period of four and half years in order to find improvement in her symptoms. After 4 years, gluten diet was gradually reintroduced in a phased manner; the patient remained well even on full gluten diet. This may be due to probiotic supplementation to the subject along with gluten free diet. Present case report describes the spontaneous recovery of celiac disease patient after strict adherence to gluten free diet and probiotic supplementation for a specified period. It is suggested that there should be a proper monitoring and detailed evaluation of clinical and histological markers of recovery in a patient after strict adherence to gluten free diet and probiotic supplementation in order to evaluate the possible role of probiotic supplements in the management of CD.

scholarly journals A Rare Medullary Carcinoma of Jejunum

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S69-S69
Author(s):  
S Fathima ◽  
A Bredeweg
Keyword(s):  
Celiac Disease ◽  
Clinical Manifestations ◽  
Collagenous Colitis ◽  
Rare Condition ◽  
Medullary Carcinoma ◽  
Treatment Modalities ◽  
Chronic Anemia ◽  
Nuclear Expression ◽  
Appropriate Treatment

Abstract Introduction/Objective Medullary carcinoma of jejunum is an extremely rare condition. These tumors account for less than 0.04% of all colorectal cancers and less than 3 cases to date has been reported in the small intestine Methods/Case Report We present a case of 78-year-old woman with a celiac disease and collagenous colitis, chronic diarrhea, chronic anemia and 2.1 cm apple core lesion on mid to distal jejunum on CT leading to partial obstruction. Results (if a Case Study enter NA) Histologically tumor showed invasive carcinoma in a solid growth pattern with pushing border. The tumor cells were uniform, enlarged with prominent nucleoli and brisk mitotic activity. There was prominent inflammatory response within and around the tumor. Immunohistochemical stains were positive for CK7, CDX2 CK19, CKAE1-3 and negative for CD45, CK20, Chromogranin Synaptophysin, PAX-8. MLH1 &PMS2 showed loss of nuclear expression and MSH2 & MSH6 with Intact nuclear expression. Microsatellite instability was High (MSI- H) with instability in two or more microsatellite markers. Diagnosis of medullary carcinoma of jejunum was made. Conclusion Although the clinical manifestations can be consistent with signs of intestinal obstruction, often these rare tumors are discovered incidentally. Conditions such as celiac disease, Crohn’s disease, and other chronic inflammatory illnesses have been linked to contributing risk factors. Imaging and appropriate tumor markers have less role in diagnosis; however, biopsy is needed for definitive diagnosis. Even though the development of these tumors in the small bowel is rare, further enhancement of awareness can aid in the appropriate early detection and appropriate treatment modalities.

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