Abdominaler Pseudotumor als klinische Manifestation eines Morbus Whipple: T-Zell-Index als Indikator der Krankheitsaktivität und Parameter der Therapiedauer?

Autor:	Windler F, Kraas E, Langkowski J, Heckmayr M, von Herbay A, Otto Hf
Rok vydání:	2008
Předmět:	medicine.medical_specialty Pathology medicine.diagnostic_test medicine.drug_class business.industry T cell Antibiotics General Medicine Disease Clinical manifestation medicine.disease medicine.anatomical_structure Biopsy medicine Mesenteric lymph nodes Radiology Whipple's disease Mesentery business
Zdroj:	DMW - Deutsche Medizinische Wochenschrift. 112:1621-1625
ISSN:	1439-4413 0012-0472
DOI:	10.1055/s-2008-1068303
Popis:	A large nonresectable upper-abdominal tumor in a 61-year-old woman was found to have been caused by inflammatory infiltration and mechanical obstruction of the mesenteric lymph nodes resulting in obstruction to lymphatic flow. Biopsy at the root of the mesentery and of abdominal lymph nodes raised the suspicion of Whipple's disease, a diagnosis confirmed by a small-intestine biopsy. Long-term antibiotic treatment was successful. Quantitative changes in the composition of the T-cell subpopulations at the time of the diagnosis reverted to normal in the course of treatment.
Databáze:	OpenAIRE
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