Chen S, Lalazar G, Barak O, Adar T, Doviner V, Mizrahi M
Internal Medicine A, Liver Unit, Hebrew University-Hadassah Medical Organization, P.O. Box 12000, Jerusalem IL 91120, Israel.
Case Rep Med. 2012;2012:361892. doi: 10.1155/2012/361892. Epub 2012 Nov 8.
Protein-losing gastroenteropathies are characterized by an excessive loss of serum proteins into the gastrointestinal tract, resulting in hypoproteinemia (detected as hypoalbuminemia), edema, and, in some cases, pleural and pericardial effusions. Protein-losing gastroenteropathies can be caused by a diverse group of disorders and should be suspected in a patient with hypoproteinemia in whom other causes, such as malnutrition, proteinuria, and impaired liver protein synthesis, have been excluded. In this paper, we present a case of protein-losing enteropathy in a 22-year-old immunocompetent male with a coinfection of CMV and Hp.
蛋白丢失性胃肠病的特征是血清蛋白过度丢失到胃肠道,导致低蛋白血症(表现为低白蛋白血症)、水肿,在某些情况下还会出现胸腔和心包积液。蛋白丢失性胃肠病可由多种疾病引起,对于低蛋白血症患者,若已排除其他病因,如营养不良、蛋白尿和肝脏蛋白合成受损,则应怀疑该病。在本文中,我们报告了一例22岁免疫功能正常男性患蛋白丢失性肠病并合并巨细胞病毒(CMV)和幽门螺杆菌(Hp)感染的病例。