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腹部CT和PET/CT对惠普尔病的早期诊断有帮助吗?一例病例报告。

Could CT abdomen and PET/CT be helpful in early diagnosis of Whipple's disease? A case report.

作者信息

Kadian Renu, Wang Jiashan, Freitas Eduardo

机构信息

Hospitalist, Great Plains Health, North Platte, NE, USA.

Infectious disease, Great Plains Health, North Platte, NE, USA.

出版信息

IDCases. 2021 Sep 11;26:e01286. doi: 10.1016/j.idcr.2021.e01286. eCollection 2021.

Abstract

Whipple's disease is a rare disease, which can be fatal if not treated. It is often diagnosed at a late stage because of the varied disease presentation and its rare incidence. Classic Whipple's disease presents with arthralgia, abdominal pain, diarrhea and weight loss. CT abdomen may show mesenteric lymphadenopathy with hypodense centers. These CT findings along with clinical presentation should prompt early diagnosis of Whipple's disease. We present a case of classic Whipple's disease with interesting CT abdomen and PET scan findings.

摘要

惠普尔病是一种罕见疾病,若不治疗可能会致命。由于其疾病表现多样且发病率低,该病常被诊断于晚期。典型的惠普尔病表现为关节痛、腹痛、腹泻和体重减轻。腹部CT可能显示肠系膜淋巴结肿大且中心密度减低。这些CT表现连同临床表现应促使对惠普尔病进行早期诊断。我们报告一例具有有趣的腹部CT和PET扫描结果的典型惠普尔病病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b6/8473535/3c55621fee5c/gr1.jpg

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