The 462nd case: chronic watery diarrhea and acute kidney injury
10.3760/cma.j.issn.0578-1426.2018.04.018
- VernacularTitle:第462例——慢性大量水样泻、急性肾损伤
- Author:
Yuehui NI
1
;
Ji LI
;
Weixun ZHOU
;
Yaping LUO
;
Qingwei JIANG
;
Yang LIU
;
Cai YUE
;
Gang SUN
;
Jiaming QIAN
Author Information
1. 100730,中国医学科学院北京协和医学院北京协和医院内科
- Keywords:
Diarrhea;
Acute kidney injury;
Autoimmune enteropathy
- From:
Chinese Journal of Internal Medicine
2018;57(4):309-312
- CountryChina
- Language:Chinese
-
Abstract:
A 60-year-old man presented with severe watery diarrhea for 2 months complicated with weight loss and acute kidney injury.He did not respond well to antidiarrheal medicines,empirical antibiotics and dietary exclusion of gluten or even complete bowel rest.The final diagnosis of autoimmune enteropathy (AIE) was made based on histopathologic findings of endoscopic biopsy from duodenal mucosa after excluding neoplastic disease,inflammatory bowel disease,and infectious diarrhea,etc.Chronic diarrhea and oliguria alleviated after the administration of corticosteroids.
