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Spruelike Enteropathy Associated with Olmesartan : An Unusual Case of Severe Diarrhea
المؤلفون المشاركون
Dreifuss, Stephanie E.
Davison, Jon M.
Tomizawa, Yutaka
Sohnen, Adam E.
Farber, Nicholas J.
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-03-13
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
A 64-year-old male with a history of hypertension presented with worsening diarrhea and 25-pound weight loss over the preceding three months.
Prior screening colonoscopy was unremarkable, and the patient failed conservative management.
On presentation, the patient had orthostatic hypotension associated with prerenal azotemia for which olmesartan (40 mg/day) was held.
Initial workup for chronic diarrhea was essentially unremarkable.
Then, EGD was performed with small bowel biopsy, which showed a moderate villous blunting and an intraepithelial lymphocyte infiltration.
Celiac disease was excluded by negative conventional serology tests and the absence of clinical response to a gluten-free diet.
In the interim, diarrhea became resolving without any other interventions, and clinical response was achieved even with gluten-containing diet.
Two months later, he achieved a complete resolution of diarrhea and regained 20-pound weight.
Spruelike enteropathy is a clinical entity manifested by chronic diarrhea and intestinal villous atrophy.
Spruelike enteropathy associated with olmesartan as a cause of drug-induced diarrhea is rare, and it has been reported only in a case series to date.
This case highlighted the importance for clinicians to maintain a high index of suspicion for olmesartan as a precipitant of spruelike enteropathy.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Dreifuss, Stephanie E.& Tomizawa, Yutaka& Farber, Nicholas J.& Davison, Jon M.& Sohnen, Adam E.. 2013. Spruelike Enteropathy Associated with Olmesartan : An Unusual Case of Severe Diarrhea. Gastroenterology Research and Practice،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-485555
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Dreifuss, Stephanie E.…[et al.]. Spruelike Enteropathy Associated with Olmesartan : An Unusual Case of Severe Diarrhea. Gastroenterology Research and Practice No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-485555
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Dreifuss, Stephanie E.& Tomizawa, Yutaka& Farber, Nicholas J.& Davison, Jon M.& Sohnen, Adam E.. Spruelike Enteropathy Associated with Olmesartan : An Unusual Case of Severe Diarrhea. Gastroenterology Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-485555
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-485555
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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