儿童乳糜腹水为乳糜泻

I. Malik, Jan Muzzafar, A. Omar
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引用次数: 0

摘要

10岁,既往或家族无明显病史,表现为紧张性腹水、低色性小细胞性贫血、血小板增多、乳白色液体,TAG水平350mg /dl, SAAG >1.1。LFT、胸片及腹水ADA均正常。腹部超声显示腹腔、正常肝脏及门/肝静脉回声清晰。内镜检查发现淋巴管扩张,但十二指肠大体形态提示腹腔疾病。IgA正常,抗TTG水平高,活检marsh IIIB和对无麸质饮食的临床反应证实了乳糜泻的诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Celiac Disease as Chylous Ascites in a Child
10 year old with no significant history either in the past or family presented with tense ascites, hypochromic microcytic anemia, thrombocytosis and milky fluid with TAG level of 350 mg/dl with a SAAG of >1.1. LFT, chest xray and ascitic fluid ADA were normal. USG abdomen showed fine echoes from peritoneal cavity and normal liver and portal /hepatic veins. endoscopy was done to look for lymphangiectasia but gross morphology of duodenum was suggestive of celiac disease. Normal IgA, high anti TTG, biopsy marsh IIIB and clinical response to gluten free diet confirmed the diagnosis of celiac disease.
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