Hj. Freeman, INFLAMMATORY BOWEL-DISEASE WITH CYTOPLASMIC-STAINING ANTINEUTROPHIL CYTOPLASMIC ANTIBODY AND EXTENSIVE COLITIS, Canadian journal of gastroenterology, 12(4), 1998, pp. 279-282
A cohort of 18 patients with inflammatory bowel disease who were chara
cterized by the presence of cytoplasmic staining antineutrophil cytopl
asmic antibody (cANCA) and extensive colitis is reported. Almost half
were Indo-Canadians, and atypical perinuclear-staining anti-neutrophil
cytoplasmic antibody was also detected in five (28%), similar to the
detection rate for Crohn's disease and other less commonly detected fo
rms of colitis, such as lymphocytic or collagenous colitis. Careful pa
thological review of all endoscopic biopsies and surgically resected c
olonic tissues did not reveal evidence of vasculitis or so-called 'pal
isading' granulomas, which is a typical pathological change of Wegener
's granulomatosis, an entity that has been traditionally characterized
by the detection of cANCA. This report describes 18 patients with ext
ensive colitis and the seromarker cANCA but without clinical features
or histological evidence of vasculitis.