[Diagnostic and therapeutic problems posed by 2 cases of exudative enteropathy].
Identifieur interne : 010428 ( Main/Exploration ); précédent : 010427; suivant : 010429[Diagnostic and therapeutic problems posed by 2 cases of exudative enteropathy].
Auteurs : J. Frexinos ; J L Rumeau ; L. Fortas ; J. Douchez ; A. RibetSource :
- La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris ; 1975.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Biopsie, Entéropathie exsudative (diagnostic), Entéropathie exsudative (diétothérapie), Entéropathie exsudative (étiologie), Humains, Hypoprotéinémie (étiologie), Jambe, Lymphangiectasie intestinale (étiologie), Lymphoedème (étiologie), Lymphographie, Lymphopénie (étiologie), Matières grasses alimentaires (usage thérapeutique), Muqueuse intestinale (anatomopathologie), Mâle, Noeuds lymphatiques (anatomopathologie), Oedème (étiologie), Povidone, Radio-isotopes de l'iode, Triglycéride (usage thérapeutique).
- MESH :
- anatomopathologie : Muqueuse intestinale, Noeuds lymphatiques.
- diagnostic : Entéropathie exsudative.
- diétothérapie : Entéropathie exsudative.
- usage thérapeutique : Matières grasses alimentaires, Triglycéride.
- étiologie : Entéropathie exsudative, Hypoprotéinémie, Lymphangiectasie intestinale, Lymphoedème, Lymphopénie, Oedème.
- Adulte, Adulte d'âge moyen, Biopsie, Humains, Jambe, Lymphographie, Mâle, Povidone, Radio-isotopes de l'iode.
English descriptors
- KwdEn :
- Adult, Biopsy, Dietary Fats (therapeutic use), Edema (etiology), Humans, Hypoproteinemia (etiology), Intestinal Mucosa (pathology), Iodine Radioisotopes, Leg, Lymph Nodes (pathology), Lymphangiectasis, Intestinal (etiology), Lymphedema (etiology), Lymphography, Lymphopenia (etiology), Male, Middle Aged, Povidone, Protein-Losing Enteropathies (diagnosis), Protein-Losing Enteropathies (diet therapy), Protein-Losing Enteropathies (etiology), Triglycerides (therapeutic use).
- MESH :
- chemical , therapeutic use : Dietary Fats, Triglycerides.
- diagnosis : Protein-Losing Enteropathies.
- diet therapy : Protein-Losing Enteropathies.
- etiology : Edema, Hypoproteinemia, Lymphangiectasis, Intestinal, Lymphedema, Lymphopenia, Protein-Losing Enteropathies.
- pathology : Intestinal Mucosa, Lymph Nodes.
- Adult, Biopsy, Humans, Iodine Radioisotopes, Leg, Lymphography, Male, Middle Aged, Povidone.
Abstract
The authors report two cases of exsudative enteropathy characterised by the existence of oedema of the lower limbs associated with hypoproteinemia and marked lymphopenia with disturbances of the P.V.P. test. In both cases lymphography demonstrated major abnormalities with obvious obstruction in one case, and signs of slowing of lymph flow with appearances of dysplasia in the other. Surgery permitted us in one case, to discover a calcified lymph node probably due to tuberculosis. The etiology of these cases is discussed and seems to be mainly related to abnormalities of the lymphatic system. A low fat diet and administration of medium-chain triglycerides, gave an undoubted improvement when the treatment was followed by the patient. These two cases illustrate well the difficult diagnostic and therapeutic problems sometimes raised by syndromes of exsudative enteropathy, in particular owing to the many possible causes.
PubMed: 166443
Affiliations:
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Le document en format XML
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<author><name sortKey="Frexinos, J" sort="Frexinos, J" uniqKey="Frexinos J" first="J" last="Frexinos">J. Frexinos</name>
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<author><name sortKey="Rumeau, J L" sort="Rumeau, J L" uniqKey="Rumeau J" first="J L" last="Rumeau">J L Rumeau</name>
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<author><name sortKey="Fortas, L" sort="Fortas, L" uniqKey="Fortas L" first="L" last="Fortas">L. Fortas</name>
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<author><name sortKey="Douchez, J" sort="Douchez, J" uniqKey="Douchez J" first="J" last="Douchez">J. Douchez</name>
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<author><name sortKey="Rumeau, J L" sort="Rumeau, J L" uniqKey="Rumeau J" first="J L" last="Rumeau">J L Rumeau</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Biopsy</term>
<term>Dietary Fats (therapeutic use)</term>
<term>Edema (etiology)</term>
<term>Humans</term>
<term>Hypoproteinemia (etiology)</term>
<term>Intestinal Mucosa (pathology)</term>
<term>Iodine Radioisotopes</term>
<term>Leg</term>
<term>Lymph Nodes (pathology)</term>
<term>Lymphangiectasis, Intestinal (etiology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphography</term>
<term>Lymphopenia (etiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Povidone</term>
<term>Protein-Losing Enteropathies (diagnosis)</term>
<term>Protein-Losing Enteropathies (diet therapy)</term>
<term>Protein-Losing Enteropathies (etiology)</term>
<term>Triglycerides (therapeutic use)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Biopsie</term>
<term>Entéropathie exsudative (diagnostic)</term>
<term>Entéropathie exsudative (diétothérapie)</term>
<term>Entéropathie exsudative (étiologie)</term>
<term>Humains</term>
<term>Hypoprotéinémie (étiologie)</term>
<term>Jambe</term>
<term>Lymphangiectasie intestinale (étiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Lymphographie</term>
<term>Lymphopénie (étiologie)</term>
<term>Matières grasses alimentaires (usage thérapeutique)</term>
<term>Muqueuse intestinale (anatomopathologie)</term>
<term>Mâle</term>
<term>Noeuds lymphatiques (anatomopathologie)</term>
<term>Oedème (étiologie)</term>
<term>Povidone</term>
<term>Radio-isotopes de l'iode</term>
<term>Triglycéride (usage thérapeutique)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Dietary Fats</term>
<term>Triglycerides</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Muqueuse intestinale</term>
<term>Noeuds lymphatiques</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Protein-Losing Enteropathies</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Entéropathie exsudative</term>
</keywords>
<keywords scheme="MESH" qualifier="diet therapy" xml:lang="en"><term>Protein-Losing Enteropathies</term>
</keywords>
<keywords scheme="MESH" qualifier="diétothérapie" xml:lang="fr"><term>Entéropathie exsudative</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Edema</term>
<term>Hypoproteinemia</term>
<term>Lymphangiectasis, Intestinal</term>
<term>Lymphedema</term>
<term>Lymphopenia</term>
<term>Protein-Losing Enteropathies</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Intestinal Mucosa</term>
<term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Matières grasses alimentaires</term>
<term>Triglycéride</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Entéropathie exsudative</term>
<term>Hypoprotéinémie</term>
<term>Lymphangiectasie intestinale</term>
<term>Lymphoedème</term>
<term>Lymphopénie</term>
<term>Oedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Biopsy</term>
<term>Humans</term>
<term>Iodine Radioisotopes</term>
<term>Leg</term>
<term>Lymphography</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Povidone</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Biopsie</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphographie</term>
<term>Mâle</term>
<term>Povidone</term>
<term>Radio-isotopes de l'iode</term>
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<front><div type="abstract" xml:lang="en">The authors report two cases of exsudative enteropathy characterised by the existence of oedema of the lower limbs associated with hypoproteinemia and marked lymphopenia with disturbances of the P.V.P. test. In both cases lymphography demonstrated major abnormalities with obvious obstruction in one case, and signs of slowing of lymph flow with appearances of dysplasia in the other. Surgery permitted us in one case, to discover a calcified lymph node probably due to tuberculosis. The etiology of these cases is discussed and seems to be mainly related to abnormalities of the lymphatic system. A low fat diet and administration of medium-chain triglycerides, gave an undoubted improvement when the treatment was followed by the patient. These two cases illustrate well the difficult diagnostic and therapeutic problems sometimes raised by syndromes of exsudative enteropathy, in particular owing to the many possible causes.</div>
</front>
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<affiliations><list></list>
<tree><noCountry><name sortKey="Douchez, J" sort="Douchez, J" uniqKey="Douchez J" first="J" last="Douchez">J. Douchez</name>
<name sortKey="Fortas, L" sort="Fortas, L" uniqKey="Fortas L" first="L" last="Fortas">L. Fortas</name>
<name sortKey="Frexinos, J" sort="Frexinos, J" uniqKey="Frexinos J" first="J" last="Frexinos">J. Frexinos</name>
<name sortKey="Ribet, A" sort="Ribet, A" uniqKey="Ribet A" first="A" last="Ribet">A. Ribet</name>
<name sortKey="Rumeau, J L" sort="Rumeau, J L" uniqKey="Rumeau J" first="J L" last="Rumeau">J L Rumeau</name>
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