Immunoproliferative Small Intestinal Disease Diagnosed by Double-balloon Endoscopy with Biopsy Sampling

  • Miguel Ricardo Rodríguez Meza
  • , Masanao Nakamura
  • , Takeshi Yamamura
  • , Keiko Maeda
  • , Tsunaki Sawada
  • , Eri Ishikawa
  • , Naomi Kakushima
  • , Kazuhiro Furukawa
  • , Eizaburo Ohno
  • , Takashi Honda
  • , Hiroki Kawashima
  • , Masatoshi Ishigami

Research output: Contribution to journalArticlepeer-review

Abstract

We herein report an 80-year-old man diagnosed with immunoproliferative small intestine disease (IPSID) via small bowel endoscopy with a biopsy. He developed persistent diarrhea and subsequently presented with hypoproteinemia and moderate anemia. Transanal double-balloon endoscopy showed prominent villous edema in the middle and lower ileum, while a histological examination showed high lymphocyte/plasma cell infiltration in the mucosal layer. Furthermore, an immunostaining analysis showed that Cluster of differentiation (CD)3 and CD20 were partially positive, while CD138 was diffusely positive. Immunoglobulin A positivity was also observed. He was diagnosed with IPSID and received a nutritional agent and minocycline. After three months, the patients’ symptoms improved.

Original languageEnglish
Pages (from-to)2593-2599
Number of pages7
JournalInternal Medicine
Volume61
Issue number17
DOIs
Publication statusPublished - 2022
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Internal Medicine

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