胃超声在小儿美涅耳病中的作用:附2例报告。

JPGN reports Pub Date : 2024-10-20 eCollection Date: 2024-11-01 DOI:10.1002/jpr3.12143
Francesco Pellegrino, Anna Opramolla, Antonio Pizzol, Caterina Rigazio, Laura Giugliano, Michele Pinon, Pier Luigi Calvo
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引用次数: 0

摘要

美氏病(MD)是一种以低白蛋白血症引起的急性全身性水肿为特征的蛋白质丧失性胃病。MD在儿童期罕见,通常与巨细胞病毒感染有关。我们报告了两名儿童,他们在腹痛和腹泻几天后出现全身性水肿。实验室检查显示低白蛋白血症无蛋白尿。胸部及腹部超声分别显示胸膜及心包积液及腹水。特异的胃超声检查显示胃壁增厚(bbb3mm),上消化道内镜检查显示胃体和胃底明显皱褶,随后的组织学检查证实了Menetrier诊断。几次白蛋白输注后出院。美国的随访证实了1个月和6个月后疾病的缓解。胃超声显示准确的诊断这种罕见的情况和随访。短期内避免第二次内窥镜检查。
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Role of gastric ultrasound in pediatric Menetrier's disease: Report of two cases.

Menetrier's disease (MD) is a protein-losing gastropathy characterized by acute generalized edema due to hypoalbuminemia. MD is rare in childhood, and it is commonly associated with cytomegalovirus infection. We reported two children, who presented with a history of generalized edema after some days of abdominal pain and diarrhea. Laboratory tests showed hypoalbuminemia with no proteinuria. Thoracic and abdominal ultrasound (US) revealed respectively pleural and pericardial effusion and ascites. A specific gastric echography showed gastric wall thickening (>3 mm) and upper gastrointestinal endoscopy revealed prominent folds in the gastric body and fundus, with a subsequent histological confirmation of Menetrier diagnosis. They were discharged after several albumin infusions. A US follow-up confirmed the remission of the disease after 1 and 6 months. Gastric US revealed accurate in the diagnosis of this rare condition and in its follow-up. avoiding a second endoscopy in the short term.

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