Recurrent necrotizing jejunitis in a child

Taufiq, Salik; Hernanz‐Schulman, Marta; Wheeler, Arville V.; Morgan, Walter M.; Teague, M.; Polk, D. Brent

doi:10.1016/s0022-3476(96)70400-6

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…The main differential was between an infectious and inflammatory cause. In segmental jejunal ulceration, jejunal Crohn's disease must be differentiated from disease caused by C. perfringens (necrotizing jejunitis), which can have a chronic, remitting course of the type described here (1). Although uncommon, this entity has been linked to the consumption of pork products (especially tripe) and is associated with the ulcerative lesions seen in our patient (3).…”

Section: Discussionmentioning

confidence: 92%

Henoch–Schönlein Purpura With Severe Jejunitis and Minimal Skin Lesions

Chesler,

Hwang,

Patton

et al. 2000

J. pediatr. gastroenterol. nutr.

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Section: Discussionmentioning

confidence: 92%

Henoch–Schönlein Purpura With Severe Jejunitis and Minimal Skin Lesions

Chesler,

Hwang,

Patton

et al. 2000

J. pediatr. gastroenterol. nutr.

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“…CMUSE is a rare idiopathic small intestinal disease (1,6). Several related intestinal disorders have been reported that share many clinical and pathological features, including acute segmental obstructing ileitis, nonspecific jejunitis, chronic ulcerative nongranulomatous jejunitis, and chronic idiopathic enterocolitis (7)(8)(9)(10). Presenting features of this enigmatic condition include abdominal pain, diarrhea, vomiting, and symptoms of intestinal obstruction.…”

Section: Discussionmentioning

confidence: 99%

Cryptogenic, Multifocal, Ulcerous, and Stenosing Enteritis as a Manifestation of Enterocolic Venopathy

Hussey¹,

Bourke²,

Broderick³

et al. 2008

J. pediatr. gastroenterol. nutr.

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“…Similar clinical presentations with or without the endoscopic findings have been previously described in children. Various nosologies, including necrotizing jejunitis, nonspecific jejunitis, nonspecific duodenitis, enteritis necroticans, acute segmental obstructive enteritis, or acute ischemic enteritis have been proposed (10–16). These reports span 30 years.…”

Section: Discussionmentioning

confidence: 99%

Duodenojejunitis: Is It Idiopathic or Is It Henoch–Schönlein Purpura Without the Purpura?

Gunasekaran,

Berman,

Gonzalez

2000

J. pediatr. gastroenterol. nutr.

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Background:Henoch–Schönlein purpura is a small‐vessel vasculitic disease that most often affects the skin. Gastrointestinal manifestations have been well described, including duodenojejunal inflammation (DJI).Methods:Four children with DJI and clinical features of HSP are described, in whom the rash was either not present or appeared atypically late in the illness.Results:The characteristic rash did not develop in three children, and it developed much later in one. The patients (three boys and one girl) were aged between 7 and 9 years (mean, 7.5 years). Growth characteristics were normal. In all patients, pain occurred acutely with colicky abdominal pain in the spring or fall of the year, and all stools were positive for occult blood. No infectious cause was identified. Upper gastrointestinal endoscopic examinations demonstrated significant visual and histologic duodenitis in a pattern consistent with previous reports in children with known HSP. Factor XIII activity was absent. Immunoglobulin A levels were increased in three of four children. All children made a prompt recovery with the administration of intravenous glucocorticoids. In one child, the characteristic rash of HSP developed 18 weeks after the initial examination.Conclusion:Duodenojejunal inflammation may be the primary manifestation of HSP, even in the absence of the characteristic rash.

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Recurrent necrotizing jejunitis in a child

Cited by 5 publications

References 12 publications

Henoch–Schönlein Purpura With Severe Jejunitis and Minimal Skin Lesions

Henoch–Schönlein Purpura With Severe Jejunitis and Minimal Skin Lesions

Cryptogenic, Multifocal, Ulcerous, and Stenosing Enteritis as a Manifestation of Enterocolic Venopathy

Duodenojejunitis: Is It Idiopathic or Is It Henoch–Schönlein Purpura Without the Purpura?

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