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Jean-Michel Guerin, MD; Catherine Hoang, MD; Annie Galian, MD; Anne Lavergne, MD
Hôpital Lariboisière Hôpital Saint-Lazare Faculté de Médecine Lariboisière Saint-Louis

Eric Lebiez, MD
Hôpital Lariboisière

Alain Bitoun, MD
Hôpital Saint-Lazare Paris

JAMA. 1986;256(5):591.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The recent publication by Green et al¹ of two cases of acquired immunodeficiency syndrome (AIDS), in which the presenting features mimicked Crohn's disease, prompts us to report a similar case.

Report of a Case.—

A 46-year-old homosexual Frenchman, with multiple sexual partners, was admitted to the hospital because of diarrhea and fever. Stool examination revealed Gardia lamblia, Endolimax nana, and Pseudolimax butchilii, but no Salmonella, Shigella, and Campylobacter. Colonoscopy showed disseminated superficial linear or irregular ulcerations predominantly in the left colon. Pathological study of distal ileal and colonic biopsy specimens showed a mild inflammatory infiltration of the lamina propria by plasma cells, polymorphs and macrophages, rare signs of cryptitis, and colonic erosions. Neither ileal villous atrophy nor pathogens were observed. (A basophil body at the basal area of an enterocyte could have been a Coccidia, of Isospora belli type, but this finding was not confirmed by . . . [Full Text PDF of this Article]

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