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[惠普尔病。病例报告]

[Whipple's disease. Case report].

作者信息

Golubović G, Ostojić N S, Teodorović J, Milovanović B, Krstić R

机构信息

Gastroenterolosko odeljenje, Klinicko-bolnicki centar, Zemun-Beograd.

出版信息

Med Pregl. 1994;47(9-10):362-4.

PMID:7565329
Abstract

This is a case report on a 42 years old patient suffering from Whipple's disease. The patient had characteristic symptoms: high temperature, frequent bowel movement, melanoderma, arthralgia and enlarged lymph nodes. After detailed clinical researches, x-ray and endoscopic examination, bacteriology examination of faeces, absorptional tests, the diagnosis was made thanks to pathohistologic analysis of biopsy samples of the small intestine by light and electron microscopy. The differential diagnostic similarity with AIDS, especially at the early phase of the illness, required excluding HTLV III. We examined the aetiophathogenesis of the illness and discussed the clinical and laboratory presentation of the patient considering contemporary ideas regarding this disease.

摘要

这是一篇关于一名42岁患惠普尔病患者的病例报告。该患者有典型症状:高烧、频繁排便、黑皮病、关节痛和淋巴结肿大。经过详细的临床研究、X光和内镜检查、粪便细菌学检查、吸收试验后,通过小肠活检样本的光镜和电镜病理组织学分析做出了诊断。与艾滋病的鉴别诊断相似性,尤其是在疾病早期,需要排除人类嗜T淋巴细胞病毒III型。我们研究了该疾病的病因发病机制,并根据关于这种疾病的当代观点讨论了患者的临床和实验室表现。

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