Won K C, Jang B I, Kim T N, Lee H W, Chung M K, Lee H W
Department of Internal Medicine, College of Medicine, Yeungnam University, Taegu, Korea.
Korean J Intern Med. 1993 Jan;8(1):51-5. doi: 10.3904/kjim.1993.8.1.51.
A 26-year-old male patient who had an 8 years history of recurrent peripheral edema with diarrhea and hypoproteinemia was evaluated. Endoscopic jejunal and ileal biopsy revealed markedly dilated mucosal lymph vessels with no evidence of inflammation. 99mTc-labeled human serum albumin (HSA) scintigraphy showed significant activity accumulating in the gastrointestinal tract to represent 99mTc-HSA leakage into the bowel lumen. A diagnosis of protein losing enteropathy and intestinal lymphangiectasia could be made. After treatment with a high protein and fat restricted diet, his symptoms subsided and the serum protein level was normalized.
一名26岁男性患者，有8年复发性外周水肿伴腹泻和低蛋白血症病史，接受了评估。内镜下空肠和回肠活检显示黏膜淋巴管明显扩张，无炎症迹象。99mTc标记的人血清白蛋白（HSA）闪烁扫描显示胃肠道有大量放射性积聚，提示99mTc-HSA漏入肠腔。可诊断为蛋白丢失性肠病和肠淋巴管扩张症。经过高蛋白和低脂饮食治疗后，他的症状缓解，血清蛋白水平恢复正常。
