Case reports examine gastroenterology, hepatology topics
Recent cases included pancreatitis, panniculitis, and polyarthritis syndrome and a Crohn disease mimic.
Several cases involving gastroenterology and hepatology recently appeared in Annals of Internal Medicine: Clinical Cases.
One case report, published Nov. 18, discussed the rare triad of pancreatitis, panniculitis, and polyarthritis syndrome, which is caused by leakage of pancreatic enzymes into the systemic circulation. The affected patient was a 50-year-old woman who presented with erythematous skin nodules, painful swelling of multiple joints, and vague abdominal symptoms and was ultimately diagnosed with metastatic pancreatic acinar cell carcinoma.
Another case report, published Dec. 2, described a 36-year-old man initially diagnosed with ileocolonic Crohn disease that was nonresponsive to numerous advanced therapies. After further evaluation and staining of colonic biopsies, he was confirmed to have a rare case of IgG4-related enterocolitis.
Other case reports published Dec. 2 include a mini-case series of salivary gland heterotopia associated with chronic esophageal acid reflux in two middle-aged men and a case in which an abnormal shunt run during right-heart catheterization in a 73-year-old woman revealed intrahepatic shunting, ultimately leading to a diagnosis of hereditary hemorrhagic telangiectasia.