Endoscopy 2023; 55(S 02): S340
DOI: 10.1055/s-0043-1765970
Abstracts | ESGE Days 2023
ePoster

Anemia and Ulcerative Jejunoileitis in a Child

Authors

  • K. Mönkemüller

    1   Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay

  • K. M. Pawlak

    2   Hospial of the Ministry of Interior and Administration in Szczecin, Szczecin, Poland

  • T. Kröner

    3   Division of advanced Endoscopy, Riverside Health System , Newport News, United States of America

  • L. Fry

    4   Helios Frankenwaldklinik Kronach, Kronach, Germany

  • A. Martinez-Alcalá

    5   Hospital Universitario Infanta Leonor, Madrid, Spain
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    Abstract Text A 7-year-old female patient was referred to our department for double balloon enteroscopy (DBE). At age 5 she was diagnosed with Crohn’s disease based on failure to thrive, iron-deficiency anemia and capsule endoscopy showing small bowel ulcers. Steroids did not result in clinical improvement. She had recurrent episodes of otitis media. After being non-responsive to azathipoprine she was sent for DBE. We found nodular lymphoid hyperplasia and aphtous ulcers in the ileum. Histology showed lack of plasma cells, NLH and increased intraepithelial lymphocytes. Serum immunoglobulins were low, confirming common variable immunodeficiency. The patient responded to the therapy with intravenous immunoglobulins.


     

    Conflicts of interest

    Authors do not have any conflict of interest to disclose.

    Publikationsverlauf

    Artikel online veröffentlicht:
    14. April 2023

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