TITLE

Hepatic and Appendiceal Whipple's Disease with Negative Jejunal Biopsies

AUTHOR(S)
Misra, Prem S.; Lebwohl, Paul; Laufer, Hilda
PUB. DATE
April 1981
SOURCE
American Journal of Gastroenterology;Apr1981, Vol. 75 Issue 4, p302
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A 20-year old man with Whipple's disease, right upper quadrant pain, abnormal liver tests and multiple negative peroral small bowel biopsies is presented. The patient underwent laparotomy: foamy macrophages were noted in the appendix and mesenteric lymph nodes; using electron microscopy, bacillary bodies were seen in the appendix, the mesenteric lymph node, and the liver. This patient had the rare occurrence of Whipple's disease of the appendix with bacillary bodies in the liver and a clinical picture compatible with hepatic involvement or cholangitis and a slow response to conventional antibiotic therapy.
ACCESSION #
16306908

 

Related Articles

  • Whipple's Disease. Veloso, Tavarela; Saleiro, J. Vaz; Baptista, F.; Ribeiro, E. // American Journal of Gastroenterology;Jun1981, Vol. 75 Issue 6, p419 

    A case of Whipple's disease is described in which humoral and cellular immunity were tested. Histologic ultrastructural and immunocytochemical study were performed, before, during and after treatment. Cutaneous anergy was the main immunological dysfunction observed. During active Whipple's...

  • UNUSUAL ONSET OF WHIPPLE'S DISEASE. Dellinger, E. H.; Terr, Isaac; Zold, Lazlo // American Journal of Gastroenterology;May1962, Vol. 37 Issue 5, p546 

    Presents the case of a 39-year-old male who had an unusual onset of Whipple's disease. Medical history of the patient; Results of the paracentesis done on the patient; Details of the exploratory laparotomy undergone by the patient.

  • Whipple's Disease, Successful Response to Sulfamethoxazole-trimethoprim. Viteri, Alfredo L.; Greene Jr., John F.; Chandler Jr., James B. // American Journal of Gastroenterology;Apr1981, Vol. 75 Issue 4, p309 

    Because of allergy to penicillin and intolerance to tetracycline, a 47-year old man, known to have Whipple's disease, was treated with sulfamethoxazoletrimethoprim, one tablet two times a day for six months. The patient has remained in remission one year after medication was discontinued....

  • The management of patients with enteric hyperoxaluria. Asplin, John // Urolithiasis;Feb2016, Vol. 44 Issue 1, p33 

    Enteric hyperoxaluria is a common occurrence in the setting of fat malabsorption, usually due to intestinal resection or intestinal bypass surgery. Enhanced intestinal absorption of dietary oxalate leads to elevated renal oxalate excretion, frequently in excess of 100 mg/d (1.14 mmol/d)....

  • Whipple's Disease. Puppala, Anjaneya R.; Singh, Satinder; Munaswamy, Marathi // American Journal of Gastroenterology;Oct1978, Vol. 70 Issue 4, p407 

    Whipple's disease in an 80-year old white man is described with endoscopic appearance, light and electron microscopic features and the treatment response. The subject is discussed in brief. This report of Whipple's disease is in the oldest patient recorded in the literature.

  • Rheumatoid Arthritis and the Xylose Tolerance Test. Gamble, Willard S.; Abbruzzese, Americo; Gray, Seymour J.; Bayles, Theodore B. // American Journal of Gastroenterology;Nov1969, Vol. 52 Issue 5, p445 

    Xylose tolerance tests were performed on 35 rheumatoid arthritis patients. In 18 with low urine xylose, 13 had hourly serum xylose determinations. Six of these patients had elevated serum values. In the nine cases with the most depressed urine xylose, five had hourly serum xylose determinations....

  • MALABSORPTION INDUCED BY GASTRIC HYPERSECRETION DUE TO ECTOPIC ISLET CELL ADENOMA. Spencer, Steven S.; Summerskill, William H. J. // American Journal of Gastroenterology;Jan1963, Vol. 39 Issue 1, p26 

    Intestinal malabsorption was related to gastric hypersecretion in a patient with gastric hypersecretion, steatorrhea, and peptic ulceration of the jejunum, due to an ectopic islet cell tumor in the duodenum. No surgical procedure had been carried out on the stomach prior to these special...

  • The Malabsorption State--A Review. Eisenstadt, H. B. // American Journal of Gastroenterology;Sep1966, Vol. 46 Issue 3, p230 

    Presents information on malabsorption syndrome. Diseases associated to malabsorption state; Signs and symptoms of malabsorption syndrome; Results of clinical and roentgenological tests on the syndrome; Methods and tools used to aid diagnosis of the disease.

  • Treatment Response in Whipple's Disease. Golden, Donald; Luthra, M. // American Journal of Gastroenterology;Jun1968, Vol. 49 Issue 6, p478 

    A case of Whipple's Disease is reported with early diagnosis established by small bowel biopsy. The patient had no response to prednisone but good and continued response to tetracycline therapy.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics