Abdominaler Pseudotumor als klinische Manifestation eines Morbus Whipple: T-Zell-Index als Indikator der Krankheitsaktivität und Parameter der Therapiedauer?
- 1 January 1987
- journal article
- case report
- Published by Georg Thieme Verlag KG in Deutsche Medizinische Wochenschrift (1946)
- Vol. 112 (42) , 1621-1625
- https://doi.org/10.1055/s-2008-1068303
Abstract
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.Keywords
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