Ileal Crohn's disease in a woman with Hermansky-Pudlak syndrome.

نویسندگان

  • Antoine de Leusse
  • Evelyne Dupuy
  • Marjan Huizing
  • Claire Danel
  • Guy Meyer
  • Raymond Jian
  • Philippe Marteau
چکیده

Hermansky-Pudlak syndrome (HPS) is a rare autosomal recessive disorder characterized by oculocutaneous albinism and platelet dysfunction. A subset of patients also show ceroid deposition, which can result in pulmonary fibrosis or granulomatous colitis. Whether this colitis may be considered Crohn's disease is under debate. We report a case of a patient with HPS associated with inflammatory bowel disease which affected the distal small bowel but not the colon. Ileitis was severe, and recurred rapidly after surgery. Search for mutations in HPS1, ADTB3A, HPS3, HPS4 and for CARD15 were negative. Symptoms and ileal ulcerations which recurred after surgery were successfully treated with azathioprine and infliximab.

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Two Complex Cases of Hermansky-Pudlak Syndrome Highlight a Potential Biologic Explanation for an Associated Crohn’s Disease Phenotype

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عنوان ژورنال:
  • Gastroenterologie clinique et biologique

دوره 30 4  شماره 

صفحات  -

تاریخ انتشار 2006