Ueda M, Yasuda Y, Ueno T, Kawakami K, Honda Y, Takeda R
Am J Gastroenterol. 1980 Oct;74(4):346-51.
We describe a case of Ménétrier's disease accompanied by severe hypoproteinemia with marked decrease of gamma globulin. Roetogenograms and endoscopic findings of the upper gastrointestinal tract demonstrated enlarged gastric rugae and multiple small protuberances of the duodenal mucosa. Histological findings a gastric biopsy specimens showed mucosal thickening and hypertrophy. Plasminogen activator activities were increased in both gastric and jenunal mucosal biopsy specimens. Severe hypoproteinemia was proven by the Gordon test and by determination of protein content of gastric juice to be due to protein loss into the gastric lumen.
我们描述了一例伴有严重低蛋白血症且γ球蛋白显著降低的梅内特里尔病。上消化道的X线片和内镜检查结果显示胃皱襞增大以及十二指肠黏膜有多个小隆起。胃活检标本的组织学检查结果显示黏膜增厚和肥大。胃和空肠黏膜活检标本中的纤溶酶原激活剂活性均升高。通过戈登试验以及测定胃液中的蛋白质含量证实,严重低蛋白血症是由于蛋白质丢失到胃腔所致。