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- Title
A rare endoscopic appearance of granulomatosis with polyangiitis involving the intestine: a case report.
- Authors
Pan, Sheng-Wu; Wang, Chang; Zhang, Xin; Zhang, Li; Yan, Qi-Qi; Zhao, Cai-Juan; Chang, Cheng; Luan, Xiao-Dong
- Abstract
<bold>Background: </bold>The involvement of granulomatosis with polyangiitis is less frequent in the intestine.<bold>Case Presentation: </bold>We present a case of Wegener's granulomatosis with unusual endoscopic appearance, involvement in a young man's gastrointestinal tract. A 45-year-old man was diagnosed with Wegener's granulomatosis 11 years ago, and relapsed with abdominal pain and melena. A colonoscopy was performed, and the appearance of mucosal lesions with an unusual annular black membrane was observed. A black ring-shaped membranous tissue adhered to the surface of the colon wall, which could be traversed by an endoscopic forepart.<bold>Conclusion: </bold>Biopsy of the black membrane revealed degenerative colonic mucosal tissues, while deep colonic biopsy revealed inflammatory granulation tissues. This has not been reported in previous documents.
- Subjects
GRANULOMATOSIS with polyangiitis; AUTOIMMUNE diseases; DISEASE relapse; ABDOMINAL pain; COLONOSCOPY; COLON (Anatomy); EXANTHEMA; GASTROINTESTINAL hemorrhage; HEMOPTYSIS; INTESTINAL mucosa; RECTUM; DISEASE complications
- Publication
BMC Gastroenterology, 2018, Vol 18, Issue 1, pN.PAG
- ISSN
1471-230X
- Publication type
journal article
- DOI
10.1186/s12876-018-0885-9