Spoulou V, Melville C, Young M, Milla P, Newman C, Morgan G
Department of Immunology, Hospitals for Sick Children, London.
Arch Dis Child. 1995 Mar;72(3):245-6. doi: 10.1136/adc.72.3.245.
A 7 year old girl referred for investigation of hypogammaglobulinaemia had hypoalbuminaemia and severe necrotising oesophagitis on oesophagogastroduodenoscopy. Nissen fundoplication resolved all clinical and laboratory abnormalities, but she remains under surveillance because of histological findings of Barrett's oesophagus. Erosive reflux oesophagitis can present with minimal localising symptoms, and hypogammaglobulinaemia and hypoalbuminaemia, presumably from protein loss.
一名因低丙种球蛋白血症前来接受检查的7岁女孩,在进行食管胃十二指肠镜检查时发现有低白蛋白血症和严重的坏死性食管炎。nissen胃底折叠术解决了所有临床和实验室异常情况,但由于巴雷特食管的组织学检查结果,她仍在接受监测。糜烂性反流性食管炎可能仅表现出轻微的定位症状,以及可能因蛋白质丢失导致的低丙种球蛋白血症和低白蛋白血症。