Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Colitis/drug therapy , Colitis/pathology , Enteritis/drug therapy , Enteritis/pathology , Eosinophilia/drug therapy , Eosinophilia/pathology , Gastritis/drug therapy , Gastritis/pathology , Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Asthma/complications , Blastocystis Infections/complications , Blastocystis Infections/drug therapy , Blastocystis hominis , Colitis/etiology , Colitis, Ulcerative/complications , Colitis, Ulcerative/pathology , Crohn Disease/complications , Crohn Disease/pathology , Diagnosis, Differential , Enteritis/etiology , Eosinophilia/etiology , Gastritis/etiology , Humans , Mesalamine/therapeutic useSubject(s)
Adrenal Cortex Hormones , Autoimmune Diseases/diagnosis , Autoimmune Diseases/drug therapy , Pancreatitis/diagnosis , Pancreatitis/drug therapy , Adrenal Cortex Hormones/therapeutic use , Adult , Anti-Inflammatory Agents/therapeutic use , Autoimmune Diseases/pathology , Bile Ducts , Cholestasis/therapy , Female , Humans , Magnetic Resonance Imaging , Pancreas/diagnostic imaging , Pancreas/pathology , Pancreatic Function Tests , Pancreatitis/pathology , Prednisone/therapeutic use , Prosthesis Implantation , UltrasonographySubject(s)
Anisakiasis/parasitology , Anisakis/isolation & purification , Stomach Diseases/parasitology , Animals , Anisakis/growth & development , Female , Fishes/parasitology , Food Parasitology , Gastroscopy , Humans , Larva , Middle Aged , Seafood/adverse effects , Seafood/parasitology , Tomography, X-Ray ComputedSubject(s)
Humans , Female , Middle Aged , Abdominal Pain/complications , Abdominal Pain/etiology , Radiography, Abdominal/methods , Colonoscopy/methods , Colonoscopy/trends , Anisakiasis/complications , Anisakiasis/diagnosis , Anisakiasis/surgery , Abdomen , Abdomen/pathology , Anisakiasis/physiopathology , AnisakiasisSubject(s)
Chordoma/complications , Coccyx , Constipation/etiology , Pelvic Neoplasms/complications , Sacrum , Spinal Neoplasms/complications , Adult , Humans , MaleSubject(s)
Humans , Male , Aged, 80 and over , Intestinal Polyposis/complications , Intestinal Polyposis/diagnosis , Colonoscopy/methods , Polyps/complications , Polyps , Adenomatous Polyps/complications , Adenomatous Polyps/diagnosis , Immunohistochemistry/methods , Biopsy/methods , Magnetic Resonance Imaging/methods , /methods , Abdomen/pathology , Abdomen , EndoscopySubject(s)
Humans , Male , Adult , Constipation/diagnosis , Constipation/etiology , Colonoscopy/methods , Colonoscopy , Chordoma/complications , Chordoma/diagnosis , Chordoma/surgery , Constipation , Low Back Pain/etiology , Pelvis/pathology , Pelvis , Endoscopy , /methods , Biopsy/instrumentation , Chordoma/drug therapy , Chordoma/radiotherapySubject(s)
Duodenal Diseases/pathology , Duodenum/pathology , Leishmaniasis, Visceral/pathology , Adult , Biopsy , Humans , MaleSubject(s)
Angiodysplasia/complications , Angiogenesis Inhibitors/therapeutic use , Gastrointestinal Hemorrhage/drug therapy , Intestinal Diseases/complications , Thalidomide/therapeutic use , Aged , Angiodysplasia/diagnosis , Cardiovascular Diseases/complications , Cerebellar Neoplasms/complications , Cerebellopontine Angle , Female , Gastrointestinal Hemorrhage/etiology , Humans , Intestinal Diseases/diagnosis , Leukemia, Lymphocytic, Chronic, B-Cell/complications , Meningeal Neoplasms/complications , Meningioma/complications , Neoplasms, Multiple PrimarySubject(s)
Actinomycosis/diagnosis , Esophageal Diseases/diagnosis , Actinomycosis/complications , Actinomycosis/drug therapy , Aged, 80 and over , Alzheimer Disease/complications , Anti-Bacterial Agents/therapeutic use , Cardiovascular Diseases/complications , Diabetes Mellitus, Type 2/complications , Esophageal Diseases/drug therapy , Esophageal Diseases/microbiology , Female , Humans , Penicillin G/therapeutic use , Ulcer/etiology , Ulcer/microbiologySubject(s)
Humans , Female , Middle Aged , Angiodysplasia/complications , Angiodysplasia/diagnosis , Angiogenesis Inhibitors/therapeutic use , Gastrointestinal Hemorrhage/drug therapy , Gastrointestinal Hemorrhage/etiology , Intestinal Diseases/complications , Intestinal Diseases/diagnosis , Neoplasms, Multiple Primary/complications , Thalidomide/therapeutic use , Cardiovascular Diseases/complications , Cerebellar Neoplasms/complications , Cerebellopontine Angle/pathology , Leukemia, Lymphocytic, Chronic, B-Cell/complications , Meningioma/complicationsSubject(s)
Humans , Female , Aged, 80 and over , Actinomycosis/complications , Actinomycosis/diagnosis , Anti-Bacterial Agents/therapeutic use , Esophageal Diseases/diagnosis , Esophageal Diseases/drug therapy , Penicillin G/therapeutic use , Actinomycosis/drug therapy , Alzheimer Disease/complications , Cardiovascular Diseases/complications , Diabetes Mellitus, Type 2/complications , Esophageal Diseases/microbiology , Ulcer/etiology , Ulcer/microbiologySubject(s)
Humans , Male , Middle Aged , Colitis/surgery , Colonoscopy/methods , Omeprazole/therapeutic use , Laparotomy , Colitis/pathology , RecurrenceSubject(s)
Appendiceal Neoplasms/pathology , Cystadenoma, Mucinous/pathology , Humans , Male , Middle AgedABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Appendiceal Neoplasms/pathology , Cystadenoma, Mucinous/pathologyABSTRACT
INTRODUCTION: Celiac disease (CD) is a chronic immune-mediated enteropathy, resulting from a gluten intolerance in genetically predisposed individuals. OBJECTIVE: a) to describe clinical features, associated disorders and serology of CD in adults; and b) to study the main that serology displays in diagnosis, clinical and histological expression. PATIENTS AND METHODS: 31 patients diagnosed of CD in adulthood have been reviewed retrospectively, including clinical presentation, associated disorders, biochemical results, serological tests (anti-gliadin and anti-endomysial antibodies) and genetical features (HLA-DQ2). It has been studied the relation between typical presentations and AEm with clinical, serological or histological findings. RESULTS: Almost 50% of patients had atypical clinical manifestations and gastrointestinal symptoms were absent in 33%. Typical manifestations are associated with villous atrophy stage III b-c of Marsh's classification (87 vs. 53%, p = 0,03). 70% of patients shows AEm mostly in women (78 vs. 37%, p = 0.03) and stage III b-c of Marsh (84 vs. 50%, p = 0.05). 68,4% were DQ2 positive. CONCLUSIONS: Clinical features of CD varies greatly. AEm and DQ2 are less common than others studies. There may be an association with clinical and serological findings and villous atrophy stage. Genetical features could help AEm in diagnosis.
Subject(s)
Celiac Disease/diagnosis , Adult , Celiac Disease/blood , Celiac Disease/complications , Celiac Disease/immunology , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
Introducción: la enfermedad celiaca (EC) es una enteropatíacrónica de base inmune debida a una intolerancia al gluten en sujetosgenéticamente predispuestos.Objetivos: a) describir clínica, enfermedades asociadas y serologíaen la EC del adulto; y b) estudiar la utilidad de la serología enel diagnóstico y su relación con la expresión clínica e histológica.Pacientes y métodos: se han estudiado de forma retrospectiva31 pacientes adultos con diagnóstico de EC seguidos en consulta.Se recogieron datos referidos a los síntomas de presentación,enfermedades asociadas, bioquímica, serología (anticuerposantigliadina y AEm) y genética (HLA DQ2). Se comprobó si la clínicatípica o la positividad de AEm se asociaban a diferencias clínicas,serológicas o grado de atrofia vellositaria.Resultados: prácticamente el 50% de los pacientes tuvo manifestacionesclínicas atípicas y el 33% no tuvo síntomas gastrointestinales.La clínica típica se asoció a atrofia de vellosidades grado III b-cde Marsh (87 vs. 53%, p = 0,03). El 70% de los pacientes tuvo anticuerposAEm positivos. Entre los pacientes con AEm fueron másfrecuentes las mujeres (78 vs. 37%, p = 0,03) y la atrofia de vellosidadesgrado III b-c de Marsh (84 vs. 50%, p = 0,05). En el estudiogenético, el 68,4% (13/19) eran portadores de los dos alelos.Conclusiones: la clínica de la EC del adulto es muy variable.La frecuencia que encontramos de AEm y genética (DQ2) es menora la publicada. Clínica, grado de atrofia y serología podrían interrelacionarse.La genética puede complementar a los AEm en eldiagnóstico
Introduction: celiac disease (CD) is a chronic immune-mediatedenteropathy, resulting from a gluten intolerance in geneticallypredisposed individuals.Objetive: a) to describe clinical features, associated disordersand serology of CD in adults; and b) to study the main that serologydisplays in diagnosis, clinical and histological expression.Patients and methods: 31 patients diagnosed of CD inadulthood have been reviewed retrospectively, including clinicalpresentation, associated disorders, biochemical results, serologicaltests (anti-gliadin and anti-endomysial antibodies) and geneticalfeatures (HLA-DQ2). It has been studied the relation between typicalpresentations and AEm with clinical, serological or histologicalfindings.Results: almost 50% of patients had atypical clinical manifestationsand gastrointestinal symptoms were absent in 33%. Typicalmanifestations are associated with villous atrophy stage III b-cof Marshs classification (87 vs. 53%, p = 0,03). 70% of patientsshows AEm mostly in women (78 vs. 37%, p = 0,03) and stage IIIb-c of Marsh (84 vs. 50%, p = 0,05). 68,4% were DQ2 positive.Conclusions: clinical features of CD varies greatly. AEm andDQ2 are less common than others studies. There may be an associationwith clinical and serological findings and villous atrophystage. Genetical features could help AEm in diagnosis (AU)
