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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
PubMed

Insights

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.

Keywords:
colitiscollagenous colitisdiarrheagastroenterologypediatrics

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