A steroid-resistant cryptogenic multifocal ulcerous stenosing enteritis

Niger J Clin Pract. 2018 May;21(5):678-680. doi: 10.4103/njcp.njcp_149_17.

Abstract

Cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) is a rare chronic and recurrent disease with unknown etiology. It characterized by shallow ulcers, submucosa thickness, and no signs of systematic inflammation. Now, steroids are the principle therapy for CMSUE. However, still, there were few patients who did not response to it. Here, we present a young woman who diagnosed with CMUSE. She underwent a surgery because of capsule endoscopy retention. After relapse, she had received budesonide and methylprednisolone separately while both of them did not stop her disease. Till now, 24 years after her initial symptom, there are no signs of carcinoma yet.

Keywords: Cryptogenic multifocal ulcerous stenosing enteritis; intestinal ulceration; steroid-resistant.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / diagnostic imaging*
  • Abdominal Pain / etiology
  • Adult
  • Chronic Disease
  • Constriction, Pathologic / complications
  • Constriction, Pathologic / diagnostic imaging*
  • Constriction, Pathologic / pathology
  • Endoscopy
  • Enteritis / complications
  • Enteritis / diagnostic imaging*
  • Enteritis / pathology
  • Female
  • Gastrointestinal Hemorrhage / diagnostic imaging
  • Gastrointestinal Hemorrhage / etiology
  • Humans
  • Intestinal Obstruction / complications
  • Intestinal Obstruction / diagnostic imaging*
  • Intestinal Obstruction / etiology
  • Intestinal Obstruction / pathology
  • Rare Diseases / diagnostic imaging*
  • Rare Diseases / pathology
  • Recurrence
  • Steroids
  • Tomography, X-Ray Computed / methods*
  • Ulcer / complications
  • Ulcer / diagnostic imaging*
  • Ulcer / pathology

Substances

  • Steroids