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[急性颅内高压和无黄疸型胆汁淤积症揭示无消化系统受累的惠普尔病]

[Acute intracranial hypertension and anicteric cholestasis revealing Whipple's disease without digestive involvement].

作者信息

Lévy S, Degott C, Redondo A, Benhamou J P, Bernuau J

机构信息

Fédération d'Hépato-Gastroentérologie et INSERM U-481, Hôpital Beaujon, Clichy.

出版信息

Gastroenterol Clin Biol. 2001 Jan;25(1):100-2.

Abstract

Whipple's disease is a rare infectious disease with potential central nervous system manifestations and a poor prognosis. We report the case of a young woman who presented with acute intracranial hypertension associated with cholestasis which revealed Whipple's disease without digestive involvement. The diagnosis was supported by the presence of PAS-diastase positive hepatic granulomas. A long course of antibiotics resulted in complete remission of the disease without relapse. An acute neurologic syndrome associated with cholestasis should suggest Whipple's disease.

摘要

惠普尔病是一种罕见的传染病,可能出现中枢神经系统表现,预后较差。我们报告了一例年轻女性病例,该患者表现为与胆汁淤积相关的急性颅内高压,经检查发现患有惠普尔病,但无消化系统受累。PAS-淀粉酶阳性的肝脏肉芽肿支持了该诊断。长期使用抗生素导致疾病完全缓解且未复发。与胆汁淤积相关的急性神经综合征应提示惠普尔病。

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