Short report
Primary antibody deficiency and Crohn's disease
P Conlong, Wynne Rees, J L Shaffer, David Nicholson, Derek Jewell, Mansel Heaney, Aled Jones, Neil Snowden
Hope Hospital,
Stott Lane, Salford M6 8HD, UK
Correspondence to: Dr P Conlong, 14 Lidgate Grove, Didsbury, Manchester M20 6ST, UK
Accepted 2 September
1998
Five patients with primary antibody deficiency were
investigated because of intermittent but persistent diarrhoea of
several years duration despite immunoglobulin replacement therapy. We found no evidence of Giardia lambia or other
intestinal pathogens to explain their gastrointestinal symptoms.
All five had definite radiological evidence of small bowel Crohn's
disease and three had histological specimens available with
abnormalities consistent with Crohn's disease. One patient had a
non-caseating granuloma in an oral ulcer. A second patient with
stricturing disease in the small bowel had a mucosal inflammatory
infiltrate with non-caseating granulomas. A third had transmural
inflammation but no granulomas. All five patents were diagnosed as
having Crohn's disease and have responded symptomatically to steroid therapy.
Keywords: antibody deficiency; Crohn's disease
© 1999 by The Fellowship of Postgraduate Medicine
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