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Images in paediatrics
Colonoscopic ’leopard sign' in chronic granulomatous disease
  1. Elise Costenoble1,
  2. Christophe F Chantrain2,
  3. Noella Bletard3,
  4. Stephanie Colinet1,
  5. Olivia Bauraind1
  1. 1 Department of Pediatric Gastroenterology, CHC Clinique de l’Espérance, Montegnée, Belgium
  2. 2 Department of Pediatric Hematology-Oncology, CHC Clinique de l’Espérance, Montegnée, Belgium
  3. 3 Department of Pathology, CHC Clinique de l’Espérance, Montegnée, Belgium
  1. Correspondence to Dr Olivia Bauraind, Department of Pediatric Gastroenterology, CHC Clinique de l’Espérance, Montegnée 4420, Belgium; olivia.bauraind{at}chc.be

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A 2-year-old boy from non-consanguineous parents with recurrent cervical lymphadenitis was diagnosed with CGD. At the age of 10 years, he presented with chronic abdominal pain, diarrhoea and recurrent aphthous stomatitis. A colonoscopy revealed diffuse colitis appearing as brown dots distributed across a yellowish oedematous mucosa (figure 1A,B). This typical aspect, recently described as the ‘leopard sign’, has been exclusively reported in patients with CGD.1 Microscopically, it consisted of coalescing …

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Footnotes

  • Contributors EC, CFC and OB were involved in the diagnosis and treatment of the patient. NB made the pathology analysis. SC and OB were involved in the endoscopic workup. All the authors contributed significantly in the writing of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Patient consent for publication Parental/guardian consent obtained.

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