Gastrite varioliforme: freqüência e relação com a gastrite linfocítica

Abstract

Varioliform gastritis is currently recognized as a special kind of chronic gastritis characterized by nodules, thickened fugal folds and erosions. These features appear to be unusual and different from those seen in chronic gastritis. The frequency of varioliform gastritis rarely exceeds 3% and the diagnosis can be easily made by endoscopic examination. Very little is known about the etiopathogeny, clinical significance and evolution of this disease. The role of Helicobacter pylori still remains unknown, although a close relationship between this gastritis and lymphocytic gastritis was suggested to exist over the last few years. The aim of the present study was to investigate the frequency of varioliform gastritis and its possible correlation with lymphocytic gastritis. To our knowledge, this is the first systematic study of varioliform gastritis in South America. We studied endoscopically 200 consecutive patients and found only one case of varioliform gastritis (0.5%). In a second part of the study, we examined histopathologically mucosa biopsies from 24 patients with varioliform gastritis and studied the presence of intraepithelial lymphocytes to verify the presence of lymphocytic gastritis. No case was found. We conclude that there was no correlation between varioliform gastritis and lymphocytic gastritis in our patients.

Lymphocytic Gastritis and Celiac Disease in Indian Children: Evidence of a Positive Relation

“…LG is recognized as a special type of chronic gastritis characterized by an intense lymphocytic infiltration of the gastric foveolar and pit epithelium in the antral or corpus mucosa. LG rarely exceeds 5% of the histological diagnosis in gastric biopsy specimens (11,19). This diagnosis can be easily made by IEL counts in preparations stained with hematoxylin and eosin; the IEL counts are far beyond the values obtained in other types of gastritis.…”