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Gut 54:1343-1344 doi:10.1136/gut.2005.071811
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Chronic intestinal pseudo-obstruction due to lymphocytic leiomyositis: is there a place for immunomodulatory therapy?

Table 1

 Clinical and histological features of our present case and cases in the literature

Sex/age (y) Histological features Treatment Evolution True lymphocytic intestinal leiomyositis
M, male; F, female; NR, not reported; PN, parenteral nutrition; PE, pancreatic enzymes.
Present case F 16 T lymphocytic infiltrate in muscularis propria Steroids and later budesonide. Azathioprine Mild symptoms, oral nutrition 2 y later Yes
Nezelof5 M 6 mo Mononuclear infiltrate in muscularis propria Steroids Death 4 y later Yes
Ruuska6 M 2 Predominant T lymphocytic infiltrate Steroids, azathioprine, ciclosporin Total PN Yes
Mann7 M 47 Chronic inflammatory infiltrate + fibrosis of longitudinal muscle NR Death 2 y later Probably yes
Rigby3 F 27 Predominant fibrosis of the circular layer Immunosuppression Oral diet plus gastrostomy feeds. Alive at 21 months Probably no
Giniès4 F 6 mo Very polymorphic infiltrate: lymphocytes, plasmocytes, histiocytes, and eosinophils Steroids Oral nutrition. Normal weight and height No (probably B lymphocytes)
McDonald1 cases 1/2/3/4 F 51/F 21/ F 29/F 18 Mucosa predominantly affected Cyclophosphamide and steroids/steroids/ antibiotics/cisapride Mild symptoms at 9 y/PN one year later/NR/NR Probably no (B lymphocytes)
Arista-Nasr2 cases 1/2/3 F 23/F 29/ F 23 Mucosa predominantly affected Cyclophosphamide/ tetracycline, tinidazol, PE/tetracycline, steroids, chemotherapy. Death from inanition/death from inanition/alive, severe inanition Probably no (B lymphocytes)

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