{"id":2005,"date":"2014-10-01T01:00:00","date_gmt":"2014-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/"},"modified":"2018-10-20T18:40:12","modified_gmt":"2018-10-20T16:40:12","slug":"cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/","title":{"rendered":"Cas clinique : diarrh\u00e9e s\u00e9v\u00e8re avec atrophie villositaire \u00e9tendue"},"content":{"rendered":"<p><strong>2014<\/strong><\/p>\n<p><em>S de Montigny-Lenhardt, CH Aubagne et Une cause rare de diarrh\u00e9e chronique s\u00e9v\u00e8re. H Salloum (1), E Joanny (1), MA Masmoudi (1), JF Boivin (2),N Brousse (3) M Prieto (1) C Locher (1). (1) H\u00e9pato-gastroent\u00e9rologie, CH Meaux (2) Anatomopathologie, CH Marne La Vall\u00e9e, (3) Anatomopathologie, CHU Necker<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02014-04-29 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Madame R Louise, 64 ans, hospitalis\u00e9e fin janvier 2014 pour une diarrh\u00e9e s\u00e9v\u00e8re \u00e9voluant depuis environ un mois apr\u00e8s d\u00e9but brutal,avec d\u00e9shydratation et insuffisance r\u00e9nale, . bilan en clinique 10j avant avec coloscopie et \u00e9chographie normales,coproculture normale; sortie sous traitement probabiliste par ciflox, persistance d&rsquo;une diarrh\u00e9e hydrique pure &gt; 10 selles par jour.<br \/>\natcd:HTA Hysterectomie<br \/>\ntt \u00e0 l&rsquo;entr\u00e9e: Alteis Duo T\u00e9m\u00e9rit Lipantyl(traitement non modifi\u00e9 depuis 2 ans)<br \/>\nbiologie: insuffisance r\u00e9nale aigue avec acidose m\u00e9tabolique, pas de syndrome inflammatoire,coproculture et parasitologie des selles n\u00e9gatifs<br \/>\nclinique: amaigrissement de 10% du poids habituel, aspect de dermite ecz\u00e9matiforme des plis d&rsquo;apparition r\u00e9cente.<br \/>\nr\u00e9cup\u00e9ration d&rsquo;une fonction r\u00e9nale normale apr\u00e8s 3 jours de r\u00e9hydratation IV et arr\u00eat de tous les traitements ant\u00e9rieurs.<br \/>\ncoloscopie et fibroscopie haute normales. biopsies \u00e9tag\u00e9es coliques et duod\u00e9nales r\u00e9alis\u00e9es.<br \/>\nscanner abdopelvien : aspect \u00e9vocateur de panniculite m\u00e9sent\u00e9rique(ad\u00e9nopathies de la racine du m\u00e9sent\u00e8re taille max 18 mm et infiltration du m\u00e9sent\u00e9re).<br \/>\nent\u00e9roscanner normal.<br \/>\nr\u00e9gression lente de la symt\u00f4matologie diarrh\u00e9ique permettant le retour \u00e0 domicile \u00e0 J10 sous tt symptomatique (immodium) en attendant les r\u00e9sultats des biopsies.<br \/>\nrevue \u00e0 J20:absence de diarrh\u00e9e, reprise de poids, asymptomatique<br \/>\nr\u00e9sultat des biopsies: atrophie villositaire duod\u00e9nale grade 3, absence de LIE, atrophie villositaire il\u00e9ale partielle, biopsies coliques normales.<br \/>\nbilan compl\u00e9mentaire: anticorps antitransglutamisases et anti endomyosium n\u00e9gatifs,  HLA DQ2 DQ8  absents.<br \/>\nquel est votre diagnostic?<br \/>\nent\u00e9rite \u00e0 l&rsquo;olmesartan,confirm\u00e9e par la r\u00e9apparition des sympt\u00f4mes apr\u00e8s r\u00e9introduction de l&rsquo;olmesartan par son cardiologue (diarrh\u00e9e et vomissements apr\u00e8s prise d&rsquo;un cp) et la r\u00e9gression compl\u00e8te de l&rsquo;atrophie villositaire \u00e0 2 mois.<br \/>\nle contr\u00f4le TDM \u00e0 3 mois retrouve des adp m\u00e9sent\u00e9riques au plus centim\u00e9triques,sans infiltration du m\u00e9sent\u00e8re<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2014 S de Montigny-Lenhardt, CH Aubagne et Une cause rare de diarrh\u00e9e chronique s\u00e9v\u00e8re. H Salloum (1), E Joanny (1), MA Masmoudi (1), JF Boivin (2),N Brousse (3) M Prieto (1) C Locher (1). (1) H\u00e9pato-gastroent\u00e9rologie, CH Meaux (2) Anatomopathologie, CH Marne La Vall\u00e9e, (3) Anatomopathologie, CHU Necker Gastroent\u00e9rologie &#8211; \u00a02014-04-29 &#8211;\u00a0CC &#8211; ________________________________ Madame [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[25],"class_list":["post-2005","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-25"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cas clinique : diarrh\u00e9e s\u00e9v\u00e8re avec atrophie villositaire \u00e9tendue - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cas clinique : diarrh\u00e9e s\u00e9v\u00e8re avec atrophie villositaire \u00e9tendue - Abstracts des congr\u00e8s de l&#039;ANGH\" \/>\n<meta property=\"og:description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta property=\"og:url\" content=\"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/\" \/>\n<meta property=\"og:site_name\" content=\"Abstracts des congr\u00e8s de l&#039;ANGH\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ANGH-2136322560030484\/\" \/>\n<meta property=\"article:published_time\" content=\"2014-10-01T00:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-10-20T16:40:12+00:00\" \/>\n<meta name=\"author\" content=\"abstracts\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"abstracts\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/\"},\"author\":{\"name\":\"abstracts\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1\"},\"headline\":\"Cas clinique : diarrh\u00e9e s\u00e9v\u00e8re avec atrophie villositaire \u00e9tendue\",\"datePublished\":\"2014-10-01T00:00:00+00:00\",\"dateModified\":\"2018-10-20T16:40:12+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/\"},\"wordCount\":387,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\"},\"keywords\":[\"2014\"],\"articleSection\":[\"Gastroenterologie\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/\",\"url\":\"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/\",\"name\":\"Cas clinique : diarrh\u00e9e s\u00e9v\u00e8re avec atrophie villositaire \u00e9tendue - Abstracts des congr\u00e8s de l&#039;ANGH\",\"isPartOf\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#website\"},\"datePublished\":\"2014-10-01T00:00:00+00:00\",\"dateModified\":\"2018-10-20T16:40:12+00:00\",\"description\":\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\",\"breadcrumb\":{\"@id\":\"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/angh.net\/abstracts\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Cas clinique : diarrh\u00e9e s\u00e9v\u00e8re avec atrophie villositaire \u00e9tendue\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/angh.net\/abstracts\/#website\",\"url\":\"https:\/\/angh.net\/abstracts\/\",\"name\":\"Abstracts des congr\u00e8s de l&#039;ANGH\",\"description\":\"Base de donn\u00e9es des abstracts du congr\u00e8s depuis 2003\",\"publisher\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/angh.net\/abstracts\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\",\"name\":\"ANGH\",\"url\":\"https:\/\/angh.net\/abstracts\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg\",\"contentUrl\":\"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg\",\"width\":48,\"height\":18,\"caption\":\"ANGH\"},\"image\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/ANGH-2136322560030484\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1\",\"name\":\"abstracts\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g\",\"caption\":\"abstracts\"},\"url\":\"https:\/\/angh.net\/abstracts\/author\/abstracts\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Cas clinique : diarrh\u00e9e s\u00e9v\u00e8re avec atrophie villositaire \u00e9tendue - Abstracts des congr\u00e8s de l&#039;ANGH","description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/","og_locale":"fr_FR","og_type":"article","og_title":"Cas clinique : diarrh\u00e9e s\u00e9v\u00e8re avec atrophie villositaire \u00e9tendue - Abstracts des congr\u00e8s de l&#039;ANGH","og_description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","og_url":"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/","og_site_name":"Abstracts des congr\u00e8s de l&#039;ANGH","article_publisher":"https:\/\/www.facebook.com\/ANGH-2136322560030484\/","article_published_time":"2014-10-01T00:00:00+00:00","article_modified_time":"2018-10-20T16:40:12+00:00","author":"abstracts","twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"abstracts","Dur\u00e9e de lecture estim\u00e9e":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/#article","isPartOf":{"@id":"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/"},"author":{"name":"abstracts","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1"},"headline":"Cas clinique : diarrh\u00e9e s\u00e9v\u00e8re avec atrophie villositaire \u00e9tendue","datePublished":"2014-10-01T00:00:00+00:00","dateModified":"2018-10-20T16:40:12+00:00","mainEntityOfPage":{"@id":"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/"},"wordCount":387,"commentCount":0,"publisher":{"@id":"https:\/\/angh.net\/abstracts\/#organization"},"keywords":["2014"],"articleSection":["Gastroenterologie"],"inLanguage":"fr-FR"},{"@type":"WebPage","@id":"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/","url":"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/","name":"Cas clinique : diarrh\u00e9e s\u00e9v\u00e8re avec atrophie villositaire \u00e9tendue - Abstracts des congr\u00e8s de l&#039;ANGH","isPartOf":{"@id":"https:\/\/angh.net\/abstracts\/#website"},"datePublished":"2014-10-01T00:00:00+00:00","dateModified":"2018-10-20T16:40:12+00:00","description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","breadcrumb":{"@id":"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/angh.net\/abstracts\/cas-clinique-diarrhee-severe-avec-atrophie-villositaire-etendue\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/angh.net\/abstracts\/"},{"@type":"ListItem","position":2,"name":"Cas clinique : diarrh\u00e9e s\u00e9v\u00e8re avec atrophie villositaire \u00e9tendue"}]},{"@type":"WebSite","@id":"https:\/\/angh.net\/abstracts\/#website","url":"https:\/\/angh.net\/abstracts\/","name":"Abstracts des congr\u00e8s de l&#039;ANGH","description":"Base de donn\u00e9es des abstracts du congr\u00e8s depuis 2003","publisher":{"@id":"https:\/\/angh.net\/abstracts\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/angh.net\/abstracts\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/angh.net\/abstracts\/#organization","name":"ANGH","url":"https:\/\/angh.net\/abstracts\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/","url":"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg","contentUrl":"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg","width":48,"height":18,"caption":"ANGH"},"image":{"@id":"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ANGH-2136322560030484\/"]},{"@type":"Person","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1","name":"abstracts","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g","caption":"abstracts"},"url":"https:\/\/angh.net\/abstracts\/author\/abstracts\/"}]}},"_links":{"self":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts\/2005","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/comments?post=2005"}],"version-history":[{"count":0,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts\/2005\/revisions"}],"wp:attachment":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/media?parent=2005"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/categories?post=2005"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/tags?post=2005"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}