Protein-losing gastropathy associated with autoimmune disease: successful treatment with prednisolone

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作者
Toshihiro Aoki
Noriyuki Noma
Ichiro Takajo
Jun-Ichi Yamaga
Masaaki Otsuka
Hiroaki Yuchi
Naoto Ishikawa
Haruhiko Inatsu
Jun-Ichiro Sakata
Yushiro Asada
Tanenao Eto
机构
[1] First Department of Internal Medicine,
[2] Department of Pathology,undefined
[3] Miyazaki Medical College,undefined
[4] 5200 Kihara,undefined
[5] Kiyotake,undefined
[6] Miyazaki 889-1692,undefined
[7] Japan,undefined
[8] Department of Pathology,undefined
[9] Miyazaki Medical College,undefined
[10] Miyazaki,undefined
[11] Japan,undefined
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Key words: protein-losing gastropathy; prednisolone; systemic lupus erythematosus;
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摘要
Tc-labeled human serum albumin scintigram showing abnormal radioactivity in the stomach. Endoscopic gastric biopsies revealed nonspecific inflammation, but marked intramural edema. Based on a slight elevation of antinuclear antibody level, autoimmune disease was suspected to be involved in this patient. Administration of prednisolone, as a diagnostic therapy, alleviated the hypoproteinemia, hypoalbuminemia, and hypercholesteremia. These findings suggest that an autoimmune mechanism could have been involved in this case of protein-losing gastropathy.
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页码:204 / 209
页数:5
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