Pediatric Gastroenterology, Indraprastha Apollo Hospital, New Delhi, India
Pediatric Gastroenterology, Indraprastha Apollo Hospital, New Delhi, India.
BMJ Case Rep. 2022 May 13;15(5):e245884. doi: 10.1136/bcr-2021-245884.
Protein-losing enteropathy entails an excessive loss of proteins in intestinal tract due to underlying primary or secondary pathologies. It is suspected in patients with chronic diarrhoea and peripheral oedema. Faecal alpha 1 antitrypsin clearance is the gold standard for diagnosis. Treatment includes a high-protein fat-modified diet, and replacements for micronutrients, electrolytes and vitamin deficiencies. Prognosis is variable depending on the underlying cause.
蛋白丢失性肠病是由于潜在的原发性或继发性疾病导致肠道内蛋白质过度流失。它常发生于慢性腹泻和外周水肿的患者。粪便α1 抗胰蛋白酶清除率是诊断的金标准。治疗包括高蛋白、脂肪修饰饮食,以及补充微量营养素、电解质和维生素缺乏。预后取决于潜在病因。