{"id":2061,"date":"2017-10-01T01:00:00","date_gmt":"2017-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/une-cause-rare-de-diarrhee-chronique-diagnostiquee-en-region-parisienne\/"},"modified":"2018-10-20T18:40:22","modified_gmt":"2018-10-20T16:40:22","slug":"une-cause-rare-de-diarrhee-chronique-diagnostiquee-en-region-parisienne","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/une-cause-rare-de-diarrhee-chronique-diagnostiquee-en-region-parisienne\/","title":{"rendered":"Une cause rare de diarrh\u00e9e chronique diagnostiqu\u00e9e en r\u00e9gion parisienne."},"content":{"rendered":"<p><strong>2017<\/strong><\/p>\n<p><em>Lanhan Nguyen (1), Coline Delalandre (1), Mathieu Yver (2), Dorian Dikov (2), Marie Trompette (1), Gilles Macaigne (1)<br \/>\n(1) Service de Gastro-Ent\u00e9rologie, (2) Service d\u2019anatomo-pathologie. Centre Hospitalier de Marne la Vall\u00e9e.<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02017-04-27 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Une femme de 40 ans, d\u2019origine pakistanaise, consulte pour une diarrh\u00e9e \u00e9voluant depuis 7 ans, faite de 10 \u00e0 15 selles liquides quotidiennes  non glairo-sanglantes, dont 3 nocturnes, associ\u00e9e \u00e0 une perte de 20 kgs sans alt\u00e9ration de l\u2019\u00e9tat g\u00e9n\u00e9ral. Il n\u2019y a pas de douleur abdominale, ni de fi\u00e8vre, ni de manifestation extra-digestive. L\u2019examen clinique est normal. Elle ne pr\u00e9sente pas d\u2019ant\u00e9c\u00e9dent personnel ni familial particulier. La diarrh\u00e9e aurait d\u00e9but\u00e9 au retour d\u2019un s\u00e9jour familial de quelques semaines au Pakistan, sans autre cas familial signal\u00e9.<br \/>\nLe bilan biologique initial est en faveur d\u2019un syndrome de malabsorption associant an\u00e9mie ferriprive, hypocholest\u00e9rol\u00e9mie, hypo-protid\u00e9mie \u00e0 58 g\/L et hypo-albumin\u00e9mie \u00e0 31 g\/L. Il n\u2019y a pas d\u2019hyper\u00e9osinophilie, de dysthyro\u00efdie, de syndrome inflammatoire. La s\u00e9rologie VIH, les coprocultures et examen parasitologique des selles sont n\u00e9gatifs. Le reste du bilan est normal en dehors d\u2019une hypogammaglobuli\u00e9mie \u00e0 6,6 g\/L avec diminution des IgG.<br \/>\nLa colo-il\u00e9oscopie terminale, les biopsies recto-coliques \u00e9tag\u00e9es et il\u00e9ales, la gastroscopie et les biopsies gastriques sont normales.  Les biopsies duod\u00e9nales  montrent une atrophie villositaire totale avec hypertrophie des cryptes, infiltrat inflammatoire lympho-plasmocytaire du chorion, hyperlymphocytose intra \u00e9pith\u00e9liale \u00e0 70 pour 100 cellules \u00e9pith\u00e9liales, sans parasite retrouv\u00e9. La recherche d\u2019IgA anti-transglutaminase est n\u00e9gative, sans d\u00e9ficit en IgA.<br \/>\nL\u2019ent\u00e9ro-IRM r\u00e9alis\u00e9e en ville est normale. Le scanner thoraco-abdomino-pelvien retrouve un \u00e9paississement pari\u00e9tal minime et non sp\u00e9cifique de la totalit\u00e9 de l\u2019intestin gr\u00eale avec ad\u00e9nopathies centim\u00e9triques m\u00e9sent\u00e9riques d\u2019allure inflammatoire.<br \/>\nQuelles sont vos hypoth\u00e8ses diagnostiques ?<br \/>\nDiagnostic, traitement et \u00e9volution au congr\u00e8s\u2026<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2017 Lanhan Nguyen (1), Coline Delalandre (1), Mathieu Yver (2), Dorian Dikov (2), Marie Trompette (1), Gilles Macaigne (1) (1) Service de Gastro-Ent\u00e9rologie, (2) Service d\u2019anatomo-pathologie. Centre Hospitalier de Marne la Vall\u00e9e. Gastroent\u00e9rologie &#8211; \u00a02017-04-27 &#8211;\u00a0CC &#8211; ________________________________ Une femme de 40 ans, d\u2019origine pakistanaise, consulte pour une diarrh\u00e9e \u00e9voluant depuis 7 ans, faite de [&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":[28],"class_list":["post-2061","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-28"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Une cause rare de diarrh\u00e9e chronique diagnostiqu\u00e9e en r\u00e9gion parisienne. - 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\/une-cause-rare-de-diarrhee-chronique-diagnostiquee-en-region-parisienne\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Une cause rare de diarrh\u00e9e chronique diagnostiqu\u00e9e en r\u00e9gion parisienne. - 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