Open AccessApoptotic collopathy as a manifestation of Good's syndrome
Author(s) -
Margarita Rey,
Daniela Rico,
Rocío del Pilar López Panqueva,
Mariana Vásquez Roldan
Publication year - 2021
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2021.8297/2021
Subject(s) - medicine , hypoalbuminemia , pancytopenia , colonoscopy , bronchiectasis , diarrhea , gastroenterology , weight loss , inflammatory bowel disease , malabsorption , dermatology , disease , colorectal cancer , bone marrow , cancer , lung , obesity
The case was a 44-year-old patient with four years of evolution of respiratory infections, fever, weight loss of 30 kg and chronic diarrhea with inconclusive colonoscopy studies, managed as inflammatory bowel disease (IBD), with a history of thymomectomy four years previously. On physical examination, there was severe protein-calorie malnutrition, skin lesions compatible with herpes simplex infection and lower limb edema. Blood tests were requested when pancytopenia and hypoalbuminemia were negative for human immunodeficiency virus (HIV). Chest tomography showed a budding tree pattern and bronchiectasis, but SARS-CoV-2 was negative. A colonoscopy was performed, showing the presence of ulcers in the sigmoid colon with an infectious aspect vs IBD.