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[A case of protein-losing gastroenteropathy accompanied by Sjögren syndrome and mixed connective tissue disease].
Nihon Shokakibyo Gakkai Zasshi ; 109(10): 1770-5, 2012 Oct.
Article en Ja | MEDLINE | ID: mdl-23047635
Case reports of protein-losing gastroenteropathy (PLGE) associated with not only mixed connective tissue disease (MCTD) but also Sjögren syndrome (SjS) are very rare. We report a first case of PLGE in a patient with both MCTD and SjS. A 58-year-old Japanese woman was referred and admitted to our hospital because of abdominal fullness and lower leg edema. Her past medical history revealed SjS at age 40. Physical examination demonstrated lower leg edema and Raynaud's phenomenon. Blood chemistry data showed severe hypoproteinemia. Anti RNP antibody was positive. MCTD was diagnosed. The alpha-1 antitrypsin clearance level was high. The (99m)Tc-DTPA human serum albumin scintigraphy demonstrated abnormal accumulation in the intestine. PLGE associated with both MCTD and SjS was diagnosed, but she was successfully treated by prednisolone.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enteropatías Perdedoras de Proteínas / Síndrome de Sjögren / Enfermedad Mixta del Tejido Conjuntivo Límite: Female / Humans / Middle aged Idioma: Ja Revista: Nihon Shokakibyo Gakkai Zasshi Año: 2012 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enteropatías Perdedoras de Proteínas / Síndrome de Sjögren / Enfermedad Mixta del Tejido Conjuntivo Límite: Female / Humans / Middle aged Idioma: Ja Revista: Nihon Shokakibyo Gakkai Zasshi Año: 2012 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón