Protein losing gastroenteropathy due to Helicobacter pylori infection without giant rugal folds, erosion or polyposis.

An 85-year- old woman was admitted to our hospital because of progressive hypoproteinemia and generalised oedema. Technetium-99m human albumin scintigraphy revealed protein leakage in the gastrointestinal tract. Upper gastrointestinal endoscopy revealed small whitish nodules from the gastric body up...

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Publicado en:BMJ Case Reports Vol. 12; no. 11; pp. 1 - 4
Autores principales: Katsunobu Yoshioka, Masanori Kishibuchi, Ko Takada
Formato: Journal Article
Publicado: BMJ Publishing Group 11/19/2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 11/19/2019
      vid: 12
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      pub: BMJ Publishing Group
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        10.1136/bcr-2019-230870
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        atl: Protein losing gastroenteropathy due to Helicobacter pylori infection without giant rugal folds, erosion or polyposis.
      aug:
        au:
          Katsunobu Yoshioka
          Masanori Kishibuchi
          Ko Takada
        affil: Internal Medicine, Shitennoji Hospital, Osaka, Japan.
      sug:
      ab: An 85-year- old woman was admitted to our hospital because of progressive hypoproteinemia and generalised oedema. Technetium-99m human albumin scintigraphy revealed protein leakage in the gastrointestinal tract. Upper gastrointestinal endoscopy revealed small whitish nodules from the gastric body up to the duodenal bulb. The urease test for Helicobacter pylori infection was positive. We diagnosed her as having protein-losing gastroenteropathy (PLGE) caused by H. pylori infection. The patient’s hypoproteinemia and clinical symptoms promptly resolved after H. pylori eradication. Our results suggest that a trial of H. pylori eradication is warranted in patients with PLGE, even if endoscopy reveals neither giant rugal folds, erosion of the mucosa, nor polyposis, which are previously reported characteristic endoscopic findings of PLGE.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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