Document Detail


Russell body gastritis associated with Helicobacter pylori infection in an HIV-positive patient: case report and review of the literature.
MedLine Citation:
PMID:  19358062     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In 1998 Tazawa and Tsutsumi described for the first time a case of Helicobacter pylori (HP)-related gastritis characterized by the presence of a conspicuous plasma cell infiltrate with Russell bodies, and coined the term Russell body gastritis (RBG). A 59-year-old HIV-positive man complaining of recurrent epigastric pain underwent an upper gastrointestinal endoscopy revealing in the stomach only hyperemia in the antral portion. Histology showed a moderate glandular atrophy associated with an expansion of the lamina propria due to an infiltration of monomorphous cells with eosinophilic cytoplasm inclusions and eccentric nuclei, somewhat resembling plasma cells. A diagnosis of HP-related RBG was made, after excluding, by means of histochemical, immunohistochemical stainings and molecular studies, a neoplastic process. A review of all cases of RBG previously described in the English literature is reported in order to examine the clinical, endoscopic and microscopic features of this histopathological entity and the possible pathogenetic mechanisms.
Authors:
S Licci; P Sette; F Del Nonno; S Ciarletti; A Antinori; L Morelli
Publication Detail:
Type:  Journal Article     Date:  2009-04-08
Journal Detail:
Title:  Zeitschrift für Gastroenterologie     Volume:  47     ISSN:  0044-2771     ISO Abbreviation:  Z Gastroenterol     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-09     Completed Date:  2009-06-26     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0033370     Medline TA:  Z Gastroenterol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  357-60     Citation Subset:  IM    
Affiliation:
Department of Pathology, "L. Spallanzani", IRCCS, Rome, Italy. stefano.licci@hotmail.it
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MeSH Terms
Descriptor/Qualifier:
AIDS-Related Opportunistic Infections / pathology*
Autoantibodies / analysis
Biopsy
Diagnosis, Differential
Eosinophilia / pathology*
Follow-Up Studies
Gastric Mucosa / pathology
Gastritis, Atrophic / pathology*
HIV Seropositivity / pathology*
Helicobacter Infections / pathology*
Helicobacter pylori*
Humans
Immunoglobulin kappa-Chains / analysis
Immunoglobulin lambda-Chains / analysis
Inclusion Bodies / pathology*
Infant, Newborn
Male
Middle Aged
Plasma Cells / pathology*
Chemical
Reg. No./Substance:
0/Autoantibodies; 0/Immunoglobulin kappa-Chains; 0/Immunoglobulin lambda-Chains

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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