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Case reports
Idiopathic acute eosinophilic hepatitis : does it exists ?Price: €10,00 |
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Until now, “eosinophilic hepatitis” has not been recognized as a
separate disease entity. We report a case of a middle-aged women
with an acute febrile, severe cholestatic hepatitis accompanied with
rash and quincke oedema, and an elevated serum IgE level. Liver
biopsy showed lymphocytic inflammation with a remarkably high
number of eosinophils. She responded rapidly to methylprednisolone
treatment, which could be quickly tapered off and stopped
without relapse. The term ‘idiopathic acute eosinophilic hepatitis’
seems to be the best fitting diagnostic term. (Acta gastroenterol.
belg., 2015, 78, 65-68). [Product Details...] |
IgG4-related cholangitis : Case report and literature reviewPrice: €10,00 |
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with jaundice, elevated cholestatic liver enzymes, an extreme
weight loss and a midcholedochal stricture very suspect for a
cholangiocarcinoma.
In the conviction of malignancy, although the
absence of anatomopathological prove, the patient underwent a
choledochal resection. The anatomopathological specimen revealed
no malignancy. In the year following resection, the patient keeps
presenting with bile duct strictures and further weight loss.
Ultimately
the diagnosis of Ig G4-related cholangitis is withheld.
Therapy with corticosteroids is initiated with a spectacular clinical,
biochemical and radiographical result.
Discussion : IgG4-related cholangitis is the biliary presentation
of IgG4-related disease, a recently discovered entity of fibroinflammatory
masses which can affect virtually every organ in the body.
It is characterized by a dense lymphoplasmacytic infiltrate, storiform
fibrosis, obliterative phlebitis and a presence of > 30 IgG4-
positive plasma cells per high power field. Main differential
diagnosis
contains cholangiocarcinoma and primary sclerosing
cholangitis.
Corticoids are cornerstone of therapy, with azathioprine
frequently used as a maintenance in case of relapse.
Conclusion : With this case we want to draw the attention to a
rather uncommon cause of biliary obstruction, easily mistaken for
a cholangiocarcinoma. (Acta gastroenterol.
belg., 2015, 78, 62-64). [Product Details...] |
Solitary cavernous lymphangioma of the duodenum : a case reportPrice: €10,00 |
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the gastrointestinal tract. In this case report, we describe the case
of a 39-year-old Lebanese female with cystic lymphangioma of the
duodenum diagnosed by exploratory laparotomy and immunohistochemical
analysis. Herein our findings are described. (Acta
gastroenterol.
belg., 2015, 78, 60-61). [Product Details...] |
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Acta Gastro-Enterologica Belgica is indexed in NCBI/PubMed.
Printed by Universa Press, Wetteren, Belgium. ©vzw/asbl Acta Gastro-Enterologica Belgica
Printed by Universa Press, Wetteren, Belgium. ©vzw/asbl Acta Gastro-Enterologica Belgica