Year 2022 / Volume 114 / Number 2
Letter
Colonic vasculitis in a woman with end-stage kidney disease and HIV infection

124-125

DOI: 10.17235/reed.2021.8363/2021

Juan Diego Castro Limo, Javier Francisco Navajas León, Ángel Romo Navarro,

Abstract
We present the case of a 57-year-old female with bloody diarrhea, fever and abdominal pain. Her medical history included human immunodeficiency virus (HIV) infection with an undetectable viral load and end-stage kidney disease secondary to HIV on dialysis. At admission, she had a painful abdomen, no skin lesions and bloody stools in the rectal examination. Laboratory findings included a white blood cell count of 12,900 x 103 cells/μl, CD4 counts of 243 cells/μl and C-reactive protein of 24.5 mg/dl. Serologies, cytomegalovirus and PCR SARS-CoV-2 were negative.
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References
1) Pagnoux C, Mahr A, Cohen P, et al. Presentation and outcome of gastrointestinal involvement in systemic necrotizing vasculitides: analysis of 62 patients with polyarteritis nodosa, microscopic polyangiitis, Wegener granulomatosis, Churg-Strauss syndrome, or rheumatoid arthritis-associated vasculitis. Medicine (Baltimore). 2005 Mar;84(2):115-128. Doi: 10.1097/01.md.0000158825.87055.0b. PMID: 15758841.
2) Silva J, Silva A, Furtado A, et al. Colon-Limited Leukocytoclastic Vasculitis. Am J Gastroenterol (2018) 113:1114. Doi: 10.1038/s41395-018-0081-0
3) Yoshikawa A, Yoshida S, Takeuchi T, et al. Gastrointestinal involvement at the onset of granulomatosis with polyangiitis: A case report. Mod Rheumatol. 2017 Jan;27(1):162-164. Doi: 10.3109/14397595.2014.954742.
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Castro Limo J, Navajas León J, Romo Navarro Á. Colonic vasculitis in a woman with end-stage kidney disease and HIV infection. 8363/2021


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Publication history

Received: 30/09/2021

Accepted: 01/10/2021

Online First: 05/10/2021

Published: 07/02/2022

Article Online First time: 5 days

Article editing time: 130 days


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