S42 Tailoring Crohn’s Disease Surveillance After Ileocolic Resection: The Importance of Inflammatory Biomarkers

Ana Isabel Ferreira, C. Arieira, S. Xavier, J. Cotter
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Abstract

, immunohistochemical staining for IgG4 was performed on the patient ’ s colon biopsies, which revealed a high percentage of the IgG cells in the lamina propria with . 50% positivity for IgG4. This con fi rmed the patient ’ s IgG4 mediated colitis, and he has now started rituximab therapy. Conclusions: We demonstrate a case of IgG4-RD misclassi fi ed as CD and GPA and emphasize the importance of consideration of this rare disorder in appropriate patients. Clinical follow-up and response to rituximab will be described at the time of this case presentation.
S42 回结肠切除术后克罗恩病监测的定制:炎症生物标志物的重要性
对患者的结肠活检组织进行了 IgG4 免疫组化染色,结果显示固有层中的 IgG 细胞比例很高,IgG4 阳性率为 50%。这确定了患者为 IgG4 介导的结肠炎,目前他已开始接受利妥昔单抗治疗。结论:我们展示了一例 IgG4-RD 被误诊为 CD 和 GPA 的病例,并强调了在适当的患者中考虑这种罕见疾病的重要性。本病例报告时将介绍临床随访情况和对利妥昔单抗的反应。
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