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Pediatric Collagenous Gastroenteritis and Colitis Presenting as Protein-Losing Enteropathy
Kailey A Remien1, Marisa Mancuso1, Kevin Watson1
1Department of Pediatric Gastroenterology, Akron Children's Hospital, Akron, OH.
ACG Case Reports Journal
|April 14, 2023
Summary
Pediatric collagenous colitis is rare, with few documented cases of collagenous gastroenteritis and colitis. This report details a child whose condition resolved spontaneously, highlighting a rare presentation of this pediatric gastrointestinal disorder.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Pathology
- Rare Diseases
Background:
- Collagenous colitis is infrequently diagnosed in pediatric populations.
- Collagenous gastroenteritis and colitis are even rarer, with limited existing literature.
- Standard presentations typically do not involve protein-losing enteropathy.
Observation:
- A pediatric patient presented with chronic, nonbloody diarrhea and lower extremity edema.
- The edema was identified as secondary to protein-losing enteropathy.
- This constellation of symptoms indicated a rare disease presentation.
Findings:
- The diagnosed condition was collagenous gastroenteritis and colitis.
- The patient experienced spontaneous disease resolution.
- The child remained asymptomatic without requiring pharmacologic intervention.
Implications:
- This case underscores the importance of considering collagenous gastroenteritis and colitis in children with similar symptoms.
- The spontaneous remission suggests potential for non-pharmacologic recovery in select pediatric cases.
- Further research into rare pediatric gastrointestinal disorders is warranted to improve diagnostic and therapeutic strategies.
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