Sestre Milosrdnice University hospital and Institute of Clinical Medical Research
Abstract
Immunoproliferative small intestinal disease (IPSID) is a rare disorder, which can progress to malignancy and invasion. Herein, a male patient is presented with hypoalbuminemic ascites and a history of chronic diarrhea five years before. Small intestinal biopsy and immunohistochemical study suggested the diagnosis of IPSID; the patient was then successfully treated with antibiotics. Considering the favorable therapeutic response of IPSID to antibiotics during primary stages, clinicians should be aware of its various presentations in order to initiate treatment at an early stage.Imunoproliferacijska bolest tankog crijeva je rijetka bolest koja može napredovati u malignu i invazivnu bolest. Prikazuje se slučaj bolesnika s hipoalbuminemičnim ascitesom i petogodišnjom anamnezom kroničnog proljeva. Biopsija tankog crijeva i imunohistokemijske pretrage upućivale su na dijagnozu imunoproliferacijske bolesti tankog crijeva, te je bolesnik uspješno liječen antibioticima. S obzirom na povoljan terapijski odgovor na antibiotike u ranim stadijima ove bolesti kliničari bi trebali poznavati njezine raznolike manifestacije kako bi pravodobno uveli primjerenu terapiju
