GASTRITE GRANULOMATEUSE ISOLEE

TL;DRAbstract

Granulomatous gastritis, appearing independently of Crohn's disease or sarcoidosis, is a fully individualized entity, rarely observed and then mainly in elderly patients. Clinical, radiologic and the correct endoscopic data are very similar to those of cancer, but diagnosis is based on the histologic thickening of the gastric wall and its inflammatory granulomatous infiltration. Isolated granulomatous gastritis is differentiated from the gastric localization of Crohn's disease or from sarcoidosis by the brevity of the clinical evolution, by the absence of localization on the small gut, by the lack of hypercalcemia and hypergammaglobulinemia, by the absence of granulomatous invasion of the epiploic lymph nodes, by the lack of anergy to tuberculin, candidine and varidase, by a normal lymphoblastic transformation test with phytohemagglutinine, and by a normal macrophage migration inhibitory factor.

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