Montagnac Richard, Blaison Dominique, Ciupea Adrian, Für Alain, Pradel Jean, Schillinger Francis
Service de néphrologie-hémodialyse, centre hospitalier de Troyes, 10003 Troyes cedex, France.
Nephrol Ther. 2007 Jun;3(3):107-12. doi: 10.1016/j.nephro.2007.02.005. Epub 2007 Apr 16.
Diagnosis of edema secondary to hypoprotidemia but without nutritional, renal, hepatic or cardiac cause, must consider exudative digestive disease, of which the lymphocytic gastritis, as the authors report here a new observation diagnosed in a 73 year-old woman. Gastroscopy reveals varioliform gastritis and biopsy demonstrates diffuse infiltration of the gastric epithelium by lymphocytes, making of it a real histopathologic entity among the gastropathies. Etiology and pathogeny remain still unknown but proton pump gastric inhibitors are an effective treatment.
诊断低蛋白血症继发水肿但无营养、肾脏、肝脏或心脏病因时,必须考虑渗出性消化系统疾病,其中淋巴细胞性胃炎,正如作者在此报告的一名73岁女性新诊断病例。胃镜检查显示痘疮样胃炎,活检显示胃上皮被淋巴细胞弥漫浸润,使其成为胃病中一种真正的组织病理学实体。病因和发病机制仍不清楚,但质子泵抑制剂是一种有效的治疗方法。