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Colitis (Expert Forum)
Difference between Colitis & Vasculitis
Answered by
Ratnakar Kini, MD - Gastroenterology, Pediatrics, acid reflux, gerd, colitis
Gastroenterologist & Hepatologist
India
This forum is for questions and support regarding Colitis issues such as: Causes, Constipation, Diagnosis, Diarrhea, Drugs and OTC Medications, Fever, Living with Colitis, Loss of Appetite, Preventing Flare-ups, Research, Symptoms, Support, Surgery, Tests, Treatments, Types of Colitis
Difference between Colitis & Vasculitis
by Daisylouu, Apr 26, 2009 05:46PM
How does on diagnose Vasculitis of the intestines? Colonoscopy showed inflammation throughout the intestines (with skip areas) but biopsies only say inflammation, not specific for UC or Crohns. High eosinophils. Subsequent Colonoscopy 3 months later (after prednisone) was perfectly normal. CT scan showd mild wall thickening of skip areas in small intestine. Double baloon endoscopy through mouth got to area where small intestine was darker in color and stiffer, less pliable........but the biopsies were normal.
ANA positive, severe joint pain (knees), ulcers in mouth, possible Lupus, but not diagnosed for sure. How is vasculitis of intestines diagnosed? Would regular biopsies during colonoscopy show vasculitis or aren't they deep enough? After all this testing, nothing definintive.
20 year old female currently taking Plaquenil and Pamelor.
ANA positive, severe joint pain (knees), ulcers in mouth, possible Lupus, but not diagnosed for sure. How is vasculitis of intestines diagnosed? Would regular biopsies during colonoscopy show vasculitis or aren't they deep enough? After all this testing, nothing definintive.
20 year old female currently taking Plaquenil and Pamelor.
Doctor's Answer
by Ratnakar Kini, MD, May 16, 2009 10:07AM
, May 16, 2009 10:07AM
Hi,
Vasculitis involving the intestine is very uncommon and is very difficult to diagnose.
Diagnosis is mainly based on clinical evidence.
Gastrointestinal vasculitis is always accompanied by systemic vasculitis.
Vasculitis involving the intestine is very uncommon and is very difficult to diagnose.
Diagnosis is mainly based on clinical evidence.
Gastrointestinal vasculitis is always accompanied by systemic vasculitis.
