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Case Report
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| Collagenous gastritis: Gastroesophageal reflux disease in an adult patient without collagenous colitis | ||||||
| Yousef Usta1, Denise Millstine2, Fredrick Kenny3 | ||||||
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1MD, Internal Medicine, Mayo Clinic Scottsdale, 13400 E. Shea Blvd. Scottsdale, AZ 85259.
2DO, Internal Medicine, St Joseph Hospital and Medical Center, 350 West Thomas Rd Phoenix, Arizona, 85013. 3MD, Gastroenterology, St Joseph Hospital and Medical Center, 350 West Thomas Rd Phoenix, Arizona, 85013. | ||||||
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| How to cite this article: |
| Usta Y, Millstine D, Kenny F. Collagenous gastritis: Gastroesophageal reflux disease in an adult patient without collagenous colitis. International Journal of Case Reports and Images 2013;4(12):678–681. |
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Abstract
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Introduction:
Collagenous gastritis, first described in 1989, is a very rare disease with only about 50 cases ever reported to date. This is a histologic diagnosis characterized by a thickened subepithelial collagen bands in the gastric mucosa. It is associated with an inflammatory infiltrate with mixed chronic inflammatory infiltrate of the lamina propria and surface epithelial damage. We present an adult case with symptoms of reflux that does not fit the recent literature that has combined all adult collagenous gastritis cases with collagenous colitis and chronic watery diarrhea.
Case Report: A 55-year-old female presented to us with chronic heart burn. She was clinically diagnosed with gastroesophageal reflux disease. Upper endoscopy was done and she was found to have gastric and gastroesophageal junction collagen deposits on biopsy. She did not have collagenous colitis on colonoscopy biopsies or any other systemic disease and she denied any lower gastrointestinal symptoms including diarrhea. All the blood tests performed were normal. Conclusion: To the best of our knowledge, this is the first case of collagenous involvement of the esophageal gastric junction in addition to the stomach. It is the first case of collagenous gastritis in an adult patient presenting with upper gastrointestinal symptoms without collagenous colitis, which is usually only seen in pediatric type disease. Considering the rarity of the disease, we feel that is still too premature to categorize collagenous gastritis into two distinct adult type and pediatric type disease. | |
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Keywords:
Collagenous gastritis, Collagenous colitis, Gastroesophageal reflux disease, Malabsorption, Diarrhea
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Author Contributions
Yousef Usta – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Denise Millstine – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Fredrick Kenny – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Yousef Usta et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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