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Idiopathic Granulomatous Gastritis Improved by Helicobacter pylori Eradication, Report of a Case Hirotaka Nakashima 1 , Ryuji Nagahama 1 , Yasuo Ohkura 2 , Rika Nakano 1 , Toshifumi Yoshida 1 , Yasumasa Baba 1 , Masakazu Maruyama 1 1Foundation for Detection of Early Gastric Carcinoma, Tokyo 2Department of Pathology, Kyorin University School of Medicine, Tokyo Keyword: 類上皮細胞肉芽腫 , 胃炎 , 画像診断 , Helicobacter pylori pp.1313-1320
Published Date 2006/8/25
DOI https://doi.org/10.11477/mf.1403100644
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 A 49-year-old female visited our hospital because of epigastralgia and loss of weight. Barium meal examination and upper gastrointestinal endoscopy examination revealed multiple erosions and narrowing of the stomach.

 Non-caseous epithelioid cell granulomas were revealed with biopsy tissue from the gastric erosion. But there were no findings evident of sarcoidosis, which as an eye lesion, shows hilar lymphadenopathy and an abnormal value on blood examination. Furthermore, we did not have any findings of tuberculosis, lues or Crohn's disease. We finally diagnosed it as Idiopathic Granulomatous Gastritis.

 Because a Helicobacter pylori IgG antibody was positive, we eradicated Helicobacter pylori. After eradication, gastric erosion disappeared, and epithelioid cell granulomas were found to be reduced in biopsy tissue.

 It was suggested that granulomatous inflammation was related to the gastric erosion.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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