Baker A, Volberg F, Sumner T, Moran R
Gastrointest Radiol. 1986;11(2):131-4. doi: 10.1007/BF02035053.
Four cases of childhood Menetrier's disease are presented and their clinical and laboratory findings are compared with the other childhood cases reported in the literature. Children with Menetrier's disease usually present with abdominal pain or nausea and vomiting associated with peripheral edema, ascites, or pleural effusion; these symptoms are due to gastrointestinal protein loss and resultant hypoproteinemia. There is no evidence of urinary protein loss. The favorable clinical course as well as distinctive laboratory and roentgenologic findings distinguish this entity from other causes of these symptoms. Supportive therapy is normally all that is required since the symptoms resolve spontaneously in weeks to months. Surgery may be needed in rare cases of active gastrointestinal hemorrhage.
本文报告了4例儿童梅内特里耶病，并将其临床和实验室检查结果与文献中报道的其他儿童病例进行了比较。梅内特里耶病患儿通常表现为腹痛或恶心呕吐，伴有外周水肿、腹水或胸腔积液；这些症状是由于胃肠道蛋白丢失及由此导致的低蛋白血症所致。无尿蛋白丢失的证据。其良好的临床病程以及独特的实验室和放射学检查结果将该疾病与导致这些症状的其他病因区分开来。由于症状通常在数周或数月内自行缓解，一般仅需支持性治疗。在罕见的活动性胃肠道出血病例中可能需要手术治疗。
