Register for email alerts and news feeds:
This journal | BMJ Group
rss
Postgraduate Medical Journal 1999;75:161-164; doi:10.1136/pgmj.75.881.161
© 1999 BMJ Publishing Group Ltd and The Fellowship of Postgraduate Medicine.
Postgrad Med J 1999;75:161-164 ( March )

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

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?

This Article

Services
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with

Register for free content

The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.