Compromiso gastrointestinal inusual en paciente pediátrico con vasculitis asociada a anticuerpos anticitoplasma de neutrófilos. Reporte de un caso

Gustavo Javier Tagliaferro, Verónica Busoni, María Cecilia Bertinotti, Carmen De Cunto, M. Orsi
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Abstract

Vasculitis is characterized by presenting inflammation of the wall of blood vessels, one type of these diseases are those associated with anti-neutrophil cytoplasm antibodies. They usually occur in adulthood and are rare in childhood. The disease generally affects the lung, kidney, and skin, with gastrointestinal involvement being rare. Here we describe the case of a pediatric patient with gastrointestinal bleeding secondary to ANCA positive vasculitis. Endoscopy revealed patchy erythematous lesions and wall hematoma at the level of the colon. Although we report a fairly infrequent clinical condition, it is not without complications. We believe it is appropriate to suspect it, first of all, intestinal involvement where the underlying inflammatory process is not clear, even more so when it involves other organs.
中性粒细胞抗细胞质抗体相关血管炎的儿科患者不寻常胃肠道累及。报告个案
血管炎以血管壁炎症为特征,其中一种疾病与抗中性粒细胞细胞质抗体有关。它们通常发生在成年期,很少发生在儿童期。该病通常累及肺、肾和皮肤,很少累及胃肠道。在这里我们描述的情况下,胃肠道出血继发于ANCA阳性血管炎的儿科患者。内窥镜检查显示斑块状红斑病变和结肠壁血肿。虽然我们报告一个相当罕见的临床状况,它不是没有并发症。我们认为怀疑它是适当的,首先,在潜在的炎症过程不清楚的情况下,肠道受累,当它涉及其他器官时更是如此。
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