H. pylori Associated Spruelike Duodenitis Presenting with Chronic Diarrhea, Hypoalbuminemia and Edema – A Case Report
Received Date: Jan 12, 2014 / Accepted Date: Apr 06, 2015 / Published Date: Apr 10, 2015
Helicobacter pylori (H.pylori) infection is known to cause varied clinical presentations and histological changes in the gastrointestinal tract. It may be one of the several mimickers of celiac disease. We present a case of a 48 year old female who presented with intermittent episodes of diarrhea, loss of appetite and weight loss. On evaluation she had Iron deficiency, megaloblastic anemia and hypoalbuminemia causing pedal edema. Histopathological examination of gastric and duodenal mucosa revealed H.pylori associated gastritis sprue like morphological changes in the duodenal mucosa. She was put on anti H.pylori regimen leading to rapid clinical improvement within two months of initiating treatment. Hence, the possibility of H.pylori induced duodenitis should also be considered in the differential diagnosis of chronic diarrhoeal diseases.
Keywords: Helicobacter pylori; Intraepithelial lymphocytosis; Duodenum
Citation: Vasudevan G, Nayal B, Rao L, Pai G (2015) H. pylori Associated Spruelike Duodenitis Presenting with Chronic Diarrhea, Hypoalbuminemia and Edema – A Case Report. J Clin Exp Pathol 5:223. Doi: 10.4172/2161-0681.1000223
Copyright: ©2015 Vasudevan G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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