Morita, A.; Asakura, H.; Morishita, T.; Hibi, T.; Shimabukuro, K.; Tsuchiya, M.
November 1976
Angiology;Nov1976, Vol. 27 Issue 11, p622
Academic Journal
Bipedal lymphography was performed in 5 cases of Beh�et's disease. In 4 of 5 cases, histologic examination of intestinal biopsy specimens showed lymphatic dilatation of the small intestine which were considered to be a characteristic finding of intestinal lymphangiectasia, a protein-losing enteropathy, but no patient with Beh9et's disease showed reduced concentration of serum total protein as well as abnormal value of 131I-PVP test. Lymphograms showed an increase in number of iliopelvic and lumbar lymphatic vessels as a major finding, but they failed to demonstrate a hypoplasia or aplasia of lymphatic system or obstruction of thoracic duct. It is conceivable that the lymphatic dilatation of the small intestine in Beh�et's disease may be related to increased flow of lymph due to excessive vascular hyperpermeability and may not be related to a block of lymphatic system which has been considered to be a cause of enteric protein loss in intestinal lymphangiectasia. The authors wish to emphasize that the dilatation of lymphatic vessels of the small intestine is not a sufficient finding to indicate the presence of protein-losing enteropathy.


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