Weise L, Heidl G, Schentke K U
Dtsch Z Verdau Stoffwechselkr. 1982;42(5):217-21.
With regard to three cases, one of them relapsing after four years, a short survey on Whipples's disease is given. The 3 male patients of medium age suffered from malabsorption and foregoing arthralgia. These symptoms are typical. In most cases first of all chronic infectious or neoplastic diseases are taken into consideration. The finding of PAS-positive macrophages in biopsies of the duodenal mucosa is key to the diagnosis, allowing the successful antibiotic therapy, with preference to oxytetracyline.
关于三例病例,其中一例在四年后复发,本文对惠普尔病进行了简要概述。这三名中年男性患者均有吸收不良及先前的关节痛症状。这些症状很典型。在大多数情况下,首先会考虑慢性感染性疾病或肿瘤性疾病。十二指肠黏膜活检中发现PAS阳性巨噬细胞是诊断的关键,这使得抗生素治疗得以成功进行,首选土霉素。