Management of severe refractory adult autoimmune enteropathy with infliximab and tacrolimus.

Abstract:

INTRODUCTION:Autoimmune enteropathy (AIE) is a rare cause of intractable diarrhea in infancy. A variant with onset in adulthood has recently been described. The immune mechanisms underlying AIE are unclear and the experience in the management of adult AIE is very limited. CASE REPORT:A 19-year-old male patient with massive refractory diarrhea and significant weight loss was diagnosed with AIE. He did not improve with corticosteroid and azathioprine treatment and was then treated successfully with infliximab. The response to treatment was rapid and complete. Because of a severe life-threatening hypersensitivity reaction during the 4th infliximab dose, infliximab had to be discontinued and therapy with tacrolimus was initiated. A complete clinical remission has since been maintained. CONCLUSION:Both infliximab and tacrolimus may provide a therapeutic alternative in patients with adult refractory AIE.

journal_name

Digestion

journal_title

Digestion

authors

von Hahn T,Stopik D,Koch M,Wiedenmann B,Dignass A

doi

10.1159/000084648

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

141-4

issue

3

eissn

0012-2823

issn

1421-9867

pii

84648

journal_volume

71

pub_type

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