Inflammatory bowel disease-like colitis in glycogen storage disease type 1b

Tomoko Yamaguchi, Kenji Ihara, Takayuki Matsumoto, Yasushi Tsutsumi, Akihiko Nomura, Shouichi Ohga, Toshiro Hara

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32 Citations (Scopus)

Abstract

Chronic inflammatory bowel disease (IBD)-like colitis is occasionally associated with glycogen storage disease-type 1b (GSD-1b). We describe a 17-year old boy with GSD-1b who developed an IBD-like colitis. Roentgenography and colonoscopy showed the lead-pipe appearance of the colon and circumferential ulcers. Histopathologic examination revealed nonspecific inflammation without granulomatous lesions. High-dose granulocyte-colony stimulating factor (G-CSF) and sulfasalazine led to the resolution of the colitis, although neutropenia continued. Besides this case, 10 published cases of GSD-1b and IBD-like colitis were reviewed. All cases had severe neutropenia and/or neutrophil dysfunction. The mean onset of bowel disease was 12.3 years of age. Seven cases required surgical treatment. All five patients with G-CSF/GM-CSF therapy showed clinical remission. These findings suggest that IBD-like colitis is a grave complication of GSD-1b and that recurrent enteric infections due to neutrophil deficiency may contribute to the development of this bowel disease.

Original languageEnglish
Pages (from-to)128-132
Number of pages5
JournalInflammatory bowel diseases
Volume7
Issue number2
DOIs
Publication statusPublished - Jan 1 2001

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All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Gastroenterology

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