Table 2.
Summary of Reported Cases of CPA-associated Enteritis.
| No. | Reference | Age/ sex |
Background autoimmune disease | Symptoms | Affected organ | Colonoscopy findings | CT findings | Pathological findings | Treatments | Total dose of CPA | Outcomes of enteritis |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | (3) | 60/M | MPA | Nausea Vomiting Diarrhea | Small intestine Colon | Denuded and erythematous mucosa | Diffuse mural thickening | Full-thickness mucosal ulceration and inflammation throughout the terminal ileum and colon | CPA was continued for 1 month with dose reduction to 50 mg/day and subsequent discontinuation | 2,100 mg | Symptoms did not improve for more than 4 weeks; patient eventually died from ARDS. |
| 2 | (4) | 61/F | GPA | Nausea Vomiting Diarrhea | Stomach Duodenum Small intestine Colon | Generalized edema from the transverse colon to the rectum | Massive wall thickening with prominent contrast enhancement in the mucosa | Mild inflammatory cellular infiltration, some granulation tissues, and ulcers | Discontinuation of CPA Intensive supportive care | 1,000 mg | Symptoms did not improve for more than 4 months but eventually improved. |
| 3 | Our case | 60/M | MPA | Nausea Vomiting Diarrhea | Small intestine Colon | Severe edema of the mucosa from the ileum to the rectum with redness and erosion | Extensive wall thickening in the small intestine and colon | Interstitium showing slightly granulation tissue-like nonspecific inflammation | Discontinuation of CPA Intensive supportive care | 500 mg | Symptoms did not improve for more than 4 months but eventually improved. |
M: male, F: female, CT: computed tomography, CPA: cyclophosphamide, MPA: microscopic polyangiitis, GPA: granulomatosis with polyangiitis, ARDS: acute respiratory distress syndrome