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Secondary hypogammaglobulinemia in Waldmann's disease treated with subcutaneous immunoglobulins.

Identifieur interne : 000972 ( PubMed/Corpus ); précédent : 000971; suivant : 000973

Secondary hypogammaglobulinemia in Waldmann's disease treated with subcutaneous immunoglobulins.

Auteurs : G. Patuzzo ; E. Tinazzi ; M. Micheletti ; A. Puccetti ; C. Lunardi

Source :

RBID : pubmed:26934740

English descriptors

Abstract

Primary intestinal lymphangiectasia (PIL) is rare disorder characterized by congenital malformation or obstruction of intestinal lymphatic drainage; it is responsible for protein losing enteropathy leading to lymphopenia, hypoalbuminemia and hypogammaglobulinemia. A low-fat diet associated with medium-chain triglyceride supplementation is the cornerstone of PIL management. The administration of intravenous immunoglobulins does not always lead to satisfactory plasma levels and therefore the replacement therapy with immunoglobulins is controversial. We describe here the case of a patient with PIL and severe hypogammaglobulinemia treated with immunoglobulins. The striking aspect of this case is the clinical and serological benefit obtained with the subcutaneous compared to the intravenous immunoglobulins administration.

PubMed: 26934740

Links to Exploration step

pubmed:26934740

Le document en format XML

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<name sortKey="Patuzzo, G" sort="Patuzzo, G" uniqKey="Patuzzo G" first="G" last="Patuzzo">G. Patuzzo</name>
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<nlm:affiliation>Clinical Immunology and Allergy Unit Department of Medicine University of Verona 37134 Verona, Italy. E-mail: jeps.pz@gmail.com Phone: +39 045 812 4401 Fax: +39 045 802 7473.</nlm:affiliation>
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<name sortKey="Tinazzi, E" sort="Tinazzi, E" uniqKey="Tinazzi E" first="E" last="Tinazzi">E. Tinazzi</name>
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<nlm:affiliation>Department of Medicine, University of Verona, Verona, Italy.</nlm:affiliation>
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<name sortKey="Micheletti, M" sort="Micheletti, M" uniqKey="Micheletti M" first="M" last="Micheletti">M. Micheletti</name>
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<name sortKey="Puccetti, A" sort="Puccetti, A" uniqKey="Puccetti A" first="A" last="Puccetti">A. Puccetti</name>
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<nlm:affiliation>Immunology Area, Pediatric Hospital Bambino Gesù, Rome, Italy.</nlm:affiliation>
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<name sortKey="Lunardi, C" sort="Lunardi, C" uniqKey="Lunardi C" first="C" last="Lunardi">C. Lunardi</name>
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<term>Adult</term>
<term>Agammaglobulinemia (diagnosis)</term>
<term>Agammaglobulinemia (immunology)</term>
<term>Agammaglobulinemia (therapy)</term>
<term>Diet, Fat-Restricted</term>
<term>Humans</term>
<term>Immunoglobulin G (administration & dosage)</term>
<term>Immunoglobulin G (blood)</term>
<term>Immunologic Factors (administration & dosage)</term>
<term>Immunologic Factors (blood)</term>
<term>Infusions, Subcutaneous</term>
<term>Lymphangiectasis, Intestinal (complications)</term>
<term>Lymphangiectasis, Intestinal (diagnosis)</term>
<term>Lymphangiectasis, Intestinal (immunology)</term>
<term>Lymphangiectasis, Intestinal (therapy)</term>
<term>Lymphedema (complications)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (immunology)</term>
<term>Lymphedema (therapy)</term>
<term>Male</term>
<term>Severity of Illness Index</term>
<term>Treatment Outcome</term>
<term>Triglycerides (administration & dosage)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en">
<term>Immunoglobulin G</term>
<term>Immunologic Factors</term>
<term>Triglycerides</term>
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<term>Immunoglobulin G</term>
<term>Immunologic Factors</term>
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<term>Lymphangiectasis, Intestinal</term>
<term>Lymphedema</term>
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<term>Agammaglobulinemia</term>
<term>Lymphangiectasis, Intestinal</term>
<term>Lymphedema</term>
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<term>Adult</term>
<term>Diet, Fat-Restricted</term>
<term>Humans</term>
<term>Infusions, Subcutaneous</term>
<term>Male</term>
<term>Severity of Illness Index</term>
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<front>
<div type="abstract" xml:lang="en">Primary intestinal lymphangiectasia (PIL) is rare disorder characterized by congenital malformation or obstruction of intestinal lymphatic drainage; it is responsible for protein losing enteropathy leading to lymphopenia, hypoalbuminemia and hypogammaglobulinemia. A low-fat diet associated with medium-chain triglyceride supplementation is the cornerstone of PIL management. The administration of intravenous immunoglobulins does not always lead to satisfactory plasma levels and therefore the replacement therapy with immunoglobulins is controversial. We describe here the case of a patient with PIL and severe hypogammaglobulinemia treated with immunoglobulins. The striking aspect of this case is the clinical and serological benefit obtained with the subcutaneous compared to the intravenous immunoglobulins administration.</div>
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<AbstractText>Primary intestinal lymphangiectasia (PIL) is rare disorder characterized by congenital malformation or obstruction of intestinal lymphatic drainage; it is responsible for protein losing enteropathy leading to lymphopenia, hypoalbuminemia and hypogammaglobulinemia. A low-fat diet associated with medium-chain triglyceride supplementation is the cornerstone of PIL management. The administration of intravenous immunoglobulins does not always lead to satisfactory plasma levels and therefore the replacement therapy with immunoglobulins is controversial. We describe here the case of a patient with PIL and severe hypogammaglobulinemia treated with immunoglobulins. The striking aspect of this case is the clinical and serological benefit obtained with the subcutaneous compared to the intravenous immunoglobulins administration.</AbstractText>
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<Keyword MajorTopicYN="N">Waldmann‘s disease</Keyword>
<Keyword MajorTopicYN="N">primary intestinal lymphangectasia</Keyword>
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