Abstract

ALVENTOSA MATEU, Carlos et al. Collagenous sprue: secondary or independent from celiac disease?. Rev. gastroenterol. Perú [online]. 2014, vol.34, n.4, pp.333-337. ISSN 1022-5129.

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 (prednisone) but we had to add azatioprine. Also, initially improved with home parenteral nutrition center.

Keywords : Collagenous sprue; Celiac disease; Collagen diseases.

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