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ד " ר שלומי כהן יחידה לגסטרו ילדים בית חולים דנה
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Case Report בת 12 שנים, בריאה בד " כ. מזה כחודש כאב בטן עליונה, מלווה בצרבת, ללא בחילה או הקאה. בדיקות הדם – ס " ד, ברזל, כימיה, סרולוגיה לצליאק תקינות. US בטן תקין.
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Case Report בגסטרוסקופיה - גסטריטיס נודולרית עם ארוזיות. HP שלילי.
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Case Report 1. Gastric tuberculosis 2. Amyloidosis 3. Collagenous gastritis 4. Sarcoidosis ?
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Collagenous Gastritis A rare entity of unknown etiology. Described in children and adults. Defined histologically by the presence of a thickened,focal, subepithelial collagen band with an increase in inflammatory cell infiltration of the lamina propria with entrapment of capillaries. This histologic pattern is similar to that in collagenous colitis.
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Collagenous Gastritis Presenting symptoms in children are UGI symptoms - epigastric pain, hematochezia, anemia, in adults - diarrhea. The endoscopic findings in children are more impressive then in adults: erosive gastritis,hemorrhage.
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Collagenous Gastritis Therapy according to case reports only: gastric acid suppression, steroids, sulfasalazine ?? Therapy did not have a consistent effect on the thickness of the collagen band, but improvement of the clinical picture was achieved.
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