Helicobacter heilmanii gastritis in polymyositis

European Journal of Internal Medicine
Isabelle MarieHervé Levesque

Abstract

We report the original case of a patient with polymyositis (PM) who developed severe gastritis related to Helicobacter heilmanii. H. heilmanii eradication, using triple therapy with omeprazole, metronidazole and amoxicillin, resulted in the complete disappearance of digestive manifestations. As an association has been found between gastric adenocarcinoma/MALT lymphoma and both polymyositis/dermatomyositis (PM/DM) and H. heilmanii infection, respectively, we suspect that PM/DM patients who develop H. heilmanii infection may have a higher risk of gastric malignancy occurrence. Further studies are warranted to confirm whether Helicobacter species infections do, in fact, increase the risk of gastric adenocarcinoma/MALT lymphoma in patients with PM/DM.

References

Aug 19, 1995·Lancet·A MorgnerG Kroher
Jan 23, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jay V Solnick
Apr 9, 2005·Arthritis and Rheumatism·Isabelle MariePierre-Yves Hatron

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