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Updated: May 31, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Concomitant presentation of collagenous sprue and HFE hemochromatosis
Keely R Parisian1, Thomas P Plesec, Kyrsten D Fairbanks
1The Cleveland Clinic, Department of Gastroenterology and Hepatology, USA. parisik@ccf.org
Insights
Collagenous sprue and HFE hemochromatosis are distinct genetic disorders. This case report details a patient with both conditions, highlighting potential overlaps in their pathogenesis.
Area of Science:
- Gastroenterology and Genetics
Background:
- Collagenous sprue (CS) is a rare malabsorptive disorder.
- HFE hemochromatosis (HH) is a common genetic disorder.
- Both CS and celiac disease share clinical similarities and potential pathogenetic links.
Observation:
- A patient presented with concurrent diagnoses of Collagenous sprue and HFE hemochromatosis.
- This presentation is unusual given the distinct nature of these diseases.
Findings:
- The case highlights the coexistence of two distinct genetic disorders.
- It raises questions about potential shared or interacting pathogenetic mechanisms.
Implications:
- Further research is needed to explore potential links between CS, celiac disease, and HH.
- Understanding these associations may improve diagnostic and therapeutic strategies for patients with malabsorptive disorders and genetic conditions.
Abstract:
Collagenous sprue (CS) is a progressive malabsorptive disorder characterized by collagen deposition beneath the basement membrane of small bowel epithelium in refractory celiac sprue. CS is a pathologically distinct entity from celiac disease, despite a similar clinical presentation. The etiology of CS is unclear, although there are speculations that CS and celiac disease may share similar pathogenetic pathways. On the other hand, HFE hemochromatosis (HH) is a distinct disease entity. Celiac disease and HH are common HLA-associated genetic disorders in Northern European populations. There are a few case reports linking celiac disease and HH. We present a patient diagnosed with concurrent CS and HH.
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