» Articles » PMID: 27407286

Coexistence of Granulomatosis with Polyangiitis (GPA) and Crohn's Disease or Multiorgan Manifestation of the Same Disease?

Overview
Journal Reumatologia
Publisher Termedia
Specialty Rheumatology
Date 2016 Jul 14
PMID 27407286
Citations 4
Authors
Affiliations
Soon will be listed here.
Abstract

Granulomatosis with polyangiitis (GPA) is a systemic necrotizing vasculitis of unknown aetiology, often related to the antineutrophil cytoplasmic antibody (ANCA). GPA was previously named Wegener's granulomatosis (WG). The disease frequently has multisystemic presentation, targeting mainly the respiratory tract and kidneys, but gastrointestinal involvement is uncommon. Crohn's disease (CD) is an inflammatory bowel disease (IBD) with many extraintestinal manifestations. Clinically, symptoms of WG and CD can mimic each other. In this paper a case of GPA manifested initially by severe multiorgan damage including colitis, regarded to be coexistent CD, is presented. The case illustrates the difficulties in establishing the diagnosis when symptoms of the diseases mimic each other.

Citing Articles

Saddle Nose Deformity in a Patient With Crohn's Disease.

Gawey B, Vinsard D, Own M, Kane S ACG Case Rep J. 2023; 10(12):e01237.

PMID: 38107607 PMC: 10723877. DOI: 10.14309/crj.0000000000001237.


Gastrointestinal Hemorrhage With Gastritis and Pancolitis as the Sole Presentation for Granulomatosis With Polyangiitis Flare.

Khan S, Alkhayyat M, Albakri A, Setrakian S, Falloon K, Saleh M ACG Case Rep J. 2022; 9(12):e00897.

PMID: 36561493 PMC: 9762923. DOI: 10.14309/crj.0000000000000897.


Gastrointestinal symptoms as first remarkable signs of ANCA-associated granulomatosis with polyangiitis: a case report and reviews.

Ledo N, Petho A BMC Gastroenterol. 2021; 21(1):158.

PMID: 33832425 PMC: 8028736. DOI: 10.1186/s12876-021-01730-8.


Orbital Inflammatory Complications of Crohn's Disease: A Rare Case Series.

Monaghan T, Albanese G, Kaye P, Thomas J, Abercrombie L, Moran G Clin Med Insights Gastroenterol. 2018; 11:1179552218757512.

PMID: 29497344 PMC: 5824895. DOI: 10.1177/1179552218757512.

References
1.
Desplat-Jego S, Johanet C, Escande A, Goetz J, Fabien N, Olsson N . Update on Anti-Saccharomyces cerevisiae antibodies, anti-nuclear associated anti-neutrophil antibodies and antibodies to exocrine pancreas detected by indirect immunofluorescence as biomarkers in chronic inflammatory bowel diseases: results of a.... World J Gastroenterol. 2007; 13(16):2312-8. PMC: 4147139. DOI: 10.3748/wjg.v13.i16.2312. View

2.
Jennette J, Falk R, Bacon P, Basu N, Cid M, Ferrario F . 2012 revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides. Arthritis Rheum. 2012; 65(1):1-11. DOI: 10.1002/art.37715. View

3.
Humbert S, Guilpain P, Puechal X, Terrier B, Riviere S, Mahr A . Inflammatory bowel diseases in anti-neutrophil cytoplasmic antibody-associated vasculitides: 11 retrospective cases from the French Vasculitis Study Group. Rheumatology (Oxford). 2015; 54(11):1970-5. DOI: 10.1093/rheumatology/kev199. View

4.
Haworth S, Pusey C . Severe intestinal involvement in Wegener's granulomatosis. Gut. 1984; 25(11):1296-300. PMC: 1432325. DOI: 10.1136/gut.25.11.1296. View

5.
Izzedine H, Lacaille S, Deray G . An unusual presentation of relapsing Wegener's granulomatosis. Nephrol Dial Transplant. 2001; 16(7):1511-2. DOI: 10.1093/ndt/16.7.1511. View