Collagenous Sprue: A Rare, Severe Small-Bowel Malabsorptive Disorder.

Collagenous sprue is a severe malabsorptive disorder, histologically characterized by small intestinal villous and crypt atrophy, and a subepithelial collagen deposit, thicker than 12 µm, that entraps lamina propria cellular elements. Collagenous sprue is a rare disease entity, with only about 60 sp...

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Publicado en:Archives of Pathology & Laboratory Medicine Vol. 135; no. 6; pp. 803 - 810
Autores principales: Zhao, Xiangrong, Johnson, Rebecca L.
Formato: pictorial review tables/charts Journal Article
Publicado: College of American Pathologists Jun2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2011
      vid: 135
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      pub: College of American Pathologists
      place: Northfield, Illinois
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        atl: Collagenous Sprue: A Rare, Severe Small-Bowel Malabsorptive Disorder.
      aug:
        au:
          Zhao, Xiangrong
          Johnson, Rebecca L.
        affil: Department of Pathology and Clinical Laboratories, Berkshire Medical Center, Pittsfield, Massachusetts
      sug:
        subj:
          Celiac Disease Pathology
          Intestine, Small Pathology
          Malnutrition
          Collagen
          Celiac Disease Etiology
          Female
          Male
          Endoscopy, Gastrointestinal
          Diagnosis, Differential
          Celiac Disease Classification
          Celiac Disease Diet Therapy
          Intestine, Small Physiopathology
          Female
          Male
      ab: Collagenous sprue is a severe malabsorptive disorder, histologically characterized by small intestinal villous and crypt atrophy, and a subepithelial collagen deposit, thicker than 12 µm, that entraps lamina propria cellular elements. Collagenous sprue is a rare disease entity, with only about 60 sporadic cases reported worldwide since it was first described in 1947. Its exact etiology is still under investigation, and its relationship with classic celiac disease and other refractory, spruelike intestinal disorders remains controversial. Two larger-scale studies, in 2009, brought new insights into this elusive, yet emerging, topic. Here, we present a review of the literature on the possible etiology of collagenous sprue, its proposed links to classic celiac disease and to refractory sprue, and its clinical, biochemical, histologic, and molecular features. To our knowledge, all case reports on collagenous sprue in the medical literature to date are summarized.
      pubtype: Academic Journal
      doctype:
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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