A Rare Case of Hepatitis C-Associated Cryoglobulinemic Duodenal Vasculitis.

Autor:	Berera S; Division of Gastroenterology, Department of Internal Medicine, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL., Gomez A; Department of Internal Medicine, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL., Dholaria K; Department of Internal Medicine, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL., Arosemena LR; Division of Hepatology, Department of Internal Medicine, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL., Ladino-Avellaneda MA; Divison of Nephrology, Department of Internal Medicine, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL., Barisoni L; Department of Pathology, Department of Internal Medicine, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL., Bhamidimarri KR; Division of Hepatology, Department of Internal Medicine, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL.
Jazyk:	angličtina
Zdroj:	ACG case reports journal [ACG Case Rep J] 2016 Sep 28; Vol. 3 (4), pp. e134. Date of Electronic Publication: 2016 Sep 28 (Print Publication: 2016).
DOI:	10.14309/crj.2016.107
Abstrakt:	Intestinal involvement of cryoglobulinemia is an uncommon manifestation and marker of severe vasculitis. We describe the case of a woman admitted to our service for management of acute renal failure and progressive gastrointestinal symptoms after initiating hepatitis C virus treatment with ribavirin and sofosbuvir 4 weeks prior. With an undetectable hepatitis C viral load and persistent symptoms despite hepatitis C virus therapy cessation, an upper endoscopy revealed duodenal sloughing, erythema, and bleeding, sparking suspicion for recurrence of cryoglobulinemic vasculitis.
Databáze:	MEDLINE
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