Title: Waldmann’s Disease: A Rare Form of Protein Losing Enteropathy
Authors: Aniruddha Ghosh, Jaydeep Choudhury, Arunaloke Bhattacharya
DOI: https://dx.doi.org/10.18535/jmscr/v4i12.41
Waldmann’s disease or primary intestinal lymphangiectasia is a rare disorder characterised by loss of protein from gastrointestinal tract. We present a patient with left upper limb hemi hypertrophy and chylous ascites associated with lymphopenia and hypoalbuminemia. Diagnosis was made by upper gastrointestinal endoscopy and biopsy. Patient responded to nutritional therapy very well. Primary intestinal lymphangiectasia should be considered in patients with chylous ascites, hypoalbuminemia and lymphopenia. Keywords: Waldmann’s disease , primary intestinal lymphangiectasia, protein losing enteropathy. 1. Arbeláez D T M, Ramírez M C, Henao J R. Intestinal Lymphangiectasia associated with Hemihypertrophy: A case report. Rev Col Gastroenterol 2013; 28 (2): 134-38. 2. Waldmann T A, Steinfeld J L, Dutcher T F, Davidson J D, Gordon R S: The role of the gastrointestinal system in “Idiopathic hypoproteinemia”. Gastroenterology 1961; 42: 197-207. 3. Van der Meer S B, Forget P P, Willebrand D. Intestinal lymphangiectasia without protein loss in a child with abdominal pain. J Pediatr Gastroenterol Nutr 1990;10: 246-248. 4. Suresh N, Ganesh R, Sankar J, Malathi S. Primary intestinal lymphangiectasia. Indian Pediatr 2009; 46: 903-906. 5. Vignes S, Bellanger J. Primary intestinal lymphangiectasia. Orphanet J Rare Dis 2008; 3:5. 6. Jabeen S, Murthy A, Kandadai R, Meena A, Borgohain R, Uppin M. Cryptoccocal meningitis as a primary manifestation in a patient with intestinal lymphangiectasia. Ann Indian Acad Neurol 2012; 15: 218-20. Dr Aniruddha Ghosh Institute of Child Health, Kolkata Email: This email address is being protected from spambots. You need JavaScript enabled to view it.Abstract
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