Wasowska-Sznajderman T, Szulc M, Kruś S, Rymkiewicz K
Kliniki Nadciśnienia Tetniczego i Chorób Naczyń AM w Warszawie.
Pol Arch Med Wewn. 1994 Apr;91(4):294-7.
We present 66 year old man with symptoms of malabsorption syndrome. The correct diagnosis of Whipple's disease was made difficult by the radiological picture of the jejunum tumor with subocclusion. It was the cause of the diagnosis of carcinoid tumor of the small intestine: the laparotomy was performed. The histological picture was typical for Whipple's disease. The skin changes seen in our patient were similar like in carcinoid syndrome, pellagra and Whipple's disease.
我们报告一名66岁有吸收不良综合征症状的男性。空肠肿瘤伴不全梗阻的影像学表现使惠普尔病的正确诊断变得困难。这也是诊断小肠类癌瘤的原因:于是进行了剖腹手术。组织学表现为典型的惠普尔病。我们患者出现的皮肤改变与类癌综合征、糙皮病和惠普尔病中的表现相似。