Journal List > Korean J Pediatr Gastroenterol Nutr > v.3(2) > 1110551

Korean J Pediatr Gastroenterol Nutr. 2000 Sep;3(2):199-205. Korean.
Published online Sep 30, 2000.  https://doi.org/10.5223/kjpgn.2000.3.2.199
Copyright © 2000 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
A Case of Autoimmune Enteropathy Treated with Corticosteroid and FK506
Mee Jeong Lee, Nu Lee Jun, Bo Hwa Choi, Sung-Hye Park,1 and Kyung Mo Kim
Department of Pediatrics, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
1Department of Diagnostic Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Abstract

Autoimmune enteropathy is a rare chronic diarrheal disease of infancy. Clinicopathologically, this entity is characterized by chronic secretory diarrhea, villous atrophy with crypt hypoplasia of a small intestine and/or associated autoimmune disorders, and absence of severe immunodeficiency. For the confirmation of diagnosis, antienterocyte autoantibody should be delineated. The treatment of choice of this disorder is immunosuppression. We has been experienced a case of autoimmune enteropathy without autoimmune disorders in a 10-month-old male infant. He developed protracted diarrhea from 5 months of his age and has been appeared to be failure to thrive. Antienterocyte autoantibody was demonstrated by immunohistochemistry and western blotting. He was successfully treated with corticosteroid and FK506. This is the first case report of autoimmune enteropathy without autoimmune disorders in Korea.

Keywords: Autoimmune enteropathy; Chronic diarrhea; Corticosteroid; FK506