Small bowel involvement documented by capsule endoscopy in Churg-Strauss syndrome

Beye, B.; Lesur, Gilles; Claudé, Pierre; Martzolf, Lionel; Kieffer, P.; Sondag, D.

doi:10.11604/pamj.2015.22.41.7810

Cited by 5 publications

(2 citation statements)

References 7 publications

(9 reference statements)

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“…In such previous studies, ulcers or erythematous and nodular mucosa in the stomach, and/or ulcers or multiple small polyps in the duodenum were identified 15 24 . In some case reports, CE or BAE revealed that erosions, submucosal edema with lymphangiectasias and erythema, or ulcers of various shapes, such as multiple punched-out, small or irregular ulcers, were seen in the jejunum and ileum 25 26 27 28 . Colonoscopy showed mucosal erythema, erosion, ulceration, dark red sign or various red flares 10 29 .…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal involvement in patients with vasculitis: IgA vasculitis and eosinophilic granulomatosis with polyangiitis

et al. 2019

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Background and study aims Among vasculitides, IgA vasculitis (IgAV) and eosinophilic granulomatosis with polyangiitis (EGPA) frequently damage the gastrointestinal tract. However, only a few studies have investigated the entire gastrointestinal tract in patients with IgAV or EGPA by endoscopy. The aim of this study was to clarify endoscopic characteristics of patients with IgAV and those with EGPA. Patients and methods Clinicopathological and endoscopic findings were retrospectively compared between 33 patients with IgAV and 19 patients with EGPA. Results Gastrointestinal involvement was observed in 33 patients with IgAV (100 %) and in 8 patients with EPGA (42 %; P = 0.0001). Duodenal involvement was more frequent in patients with IgAV (75.8 %) than in those with EGPA (21.1 %, P = 0.0002). Jejunoileal involvement was frequent in both groups (IgAV 94.4 %; EGPA 77.8 %). Gastric mucosal erythema was more frequent in patients with IgAV (18.2 %) than in those with EGPA (0 %, P = 0.0481). Duodenal mucosal erythema (IgAV 54.6 %; EGPA 21.1 %, P = 0.0227), ulcer (IgAV 33.3 %; EGPA 0 %, P = 0.0041), and hematoma-like protrusion (IgAV 21.1 %; EGPA 0 %, P = 0.039) were more frequently observed in patients with IgAV than in those with EGPA. Conclusions Frequent duodenal involvement, gastric mucosal erythema, and duodenal lesions including erythema, ulcer, and hematoma-like protrusion are characteristic of patients with IgAV. Because jejunoileal involvement was frequent in both groups of patients, small-bowel endoscopies should be performed for diagnosis of small-bowel lesions in patients with IgAV and EGPA.

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Section: Discussionmentioning

confidence: 99%

Gastrointestinal involvement in patients with vasculitis: IgA vasculitis and eosinophilic granulomatosis with polyangiitis

et al. 2019

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“…Investigating the entire length of the small intestine can be difficult. Recently, the use of double balloon endoscopy 19 and capsule endoscopy 20 have been reported in patients with EGPA. These techniques allow the identification of multiple ulcers in the small intestine that could lead to perforation.…”

Section: Discussionmentioning

confidence: 99%

A Clinicopathologic Study of Small Intestinal Perforations in Patients With Eosinophilic Granulomatosis With Polyangiitis: A Series of 3 Patients

Saito

Nagashima

Matsubara

et al. 2017

International Surgery

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Eosinophilic granulomatosis with polyangiitis (EGPA) is a vascular disorder of unknown etiology characterized by severe asthma, eosinophilia, and granulomatous vasculitis. It is sometimes associated with gastrointestinal lesions, although perforations are uncommon. Corticosteroids are commonly used in the treatment of patients with EGPA; however, they may impair tissue repair and induce fibrotic changes in the vascular intima, which can lead to vascular occlusion, ischemia, and perforation. The antiinflammatory properties of corticosteroids may mask symptoms of gastroduodenal ulcers or other intra-abdominal conditions, which can lead to a delay in diagnosis. From January 1, 2001 to December 31, 2014, 71 patients underwent surgery for small intestinal perforations. Of these, 4 operations were performed on 3 patients with EGPA who were receiving corticosteroids. We retrospectively reviewed the clinical and pathologic features of these patients. All 3 patients with EGPA were men, with a mean age of 56 years. The length of resected intestine ranged from 10 to 60 cm. Histopathologic

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Miscellaneous Organ Involvement in ANCA-Associated Vasculitis

Trivioli

Vaglio

2019

Rare Diseases of the Immune System

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Small bowel involvement documented by capsule endoscopy in Churg-Strauss syndrome

Cited by 5 publications

References 7 publications

Gastrointestinal involvement in patients with vasculitis: IgA vasculitis and eosinophilic granulomatosis with polyangiitis

Gastrointestinal involvement in patients with vasculitis: IgA vasculitis and eosinophilic granulomatosis with polyangiitis

A Clinicopathologic Study of Small Intestinal Perforations in Patients With Eosinophilic Granulomatosis With Polyangiitis: A Series of 3 Patients

Miscellaneous Organ Involvement in ANCA-Associated Vasculitis

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