Year 2020 / Volume 112 / Number 4
Letter
Atrophic enteropathy refractory to a gluten-free diet: what should we consider?

328-329

DOI: 10.17235/reed.2020.6361/2019

Alicia Martín-Lagos Maldonado, Fátima García-Consuegra Ruiz-Aragón, Myriam del Carmen Herrera Mercader,

Abstract
Olmesartan is an angiotensin II receptor antagonist used for the treatment of blood hypertension. Long-term use has been associated with diarrhea and sometimes intestinal involvement may mimic enteropathies such as celiac disease. Clinicians should consider drugs within the differential diagnosis of enteropathies. We report the case of a female who sought medical help for malabsorptive symptoms and was finally diagnosed with olmesartan-associated gastritis and atrophic enteropathy.
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References
1. Machado I, Reolid M, Martínez de Juan F, Martínez Lapiedra C, Maia de Alcántara F.Sprue-like enteropathy associated with olmesartan in a patient with villous atrophy, HLA-DQ2 genotype and antinuclear antibodies. Rev Esp Enferm Dig. 2016 Nov;108(11):732-733.
2. Shenbagaraj L, Swift G. Olmesartan-associated severe gastritis and enteropathy BMJ Case Rep 2018;11:e226133. doi:10.1136/bcr-2018-226133
3.Burbure N, Lebwohl B, Arguelles-Grande C et al. Olmesartan-associated sprue-li ke enteropathy: a systematic review with emphasis n histopathology. Human Pathology (2016) 50, 127-134
4. Campos Ruiz A, Urtasun Arlegui L, Marra-López Valenciano C. Sprue-like enteropathy linked to olmesartan. Rev Esp Enferm Dig. 2016 May;108(5):292-3. doi: 10.17235/reed.2016.4140/2015
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Martín-Lagos Maldonado A, García-Consuegra Ruiz-Aragón F, Herrera Mercader M. Atrophic enteropathy refractory to a gluten-free diet: what should we consider?. 6361/2019


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Publication history

Received: 28/04/2019

Accepted: 06/05/2019

Online First: 14/02/2020

Published: 07/04/2020

Article Online First time: 292 days

Article editing time: 345 days


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