Lymph Loss in the Bowel and Severe Nutritional Disturbances in Crohn's Disease
作者:
D. Baert,
D. Wulfrank,
P. Burvenich,
J. Lagae,
期刊:
Journal of Clinical Gastroenterology
(OVID Available online 1999)
卷期:
Volume 29,
issue 3
页码: 277-279
ISSN:0192-0790
年代: 1999
出版商: OVID
关键词: Crohn's disease;Malnutrition;Lymph loss;Fatty liver
数据来源: OVID
摘要:
A severe nutritional deficiency status is described in a 22-year-old patient with Crohn's disease. The clinical picture on admission was dominated by an episode of gastrointestinal bleeding secondary to clotting disturbances (vitamin K deficiency) and severe cachexia due to a protein energy malnutrition. The mechanisms of severe nutritional disturbances in Crohn's disease are multifactorial. In this patient, lymphatic leakage into the intestinal lumen was a major contributing factor in the pathogenesis of protein-losing enteropathy, fat malabsorption, and lymphocytopenia. The authors were able to demonstrate this intestinal lymph loss by nuclear imaging.
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