抄録
A 30-year-old man with severe hypoalbuminemia (serum albumin: 0.9 g/dL) was admitted with severe bilateral leg edema and unilateral pleural effusion. Serum anti-SS-A and SS-B antibody levels were abnormally elevated, and his symptoms fulfilled the diagnostic criteria for Sjögren's syndrome. Technetium-99m albumin scintigraphy revealed protein leakage from a large area of the small intestine. Immunohistochemistry revealed perivascular deposition of C1q, C3d, and immunoglobulin G in the duodenal mucosa. The patient was diagnosed with protein-losing gastroenteropathy associated with Sjögren's syndrome. Within 2 months of treatment with oral prednisolone and mycophenolate mofetil, the clinical symptoms of hypoalbuminemia and Sjögren's syndrome disappeared completely.
本文言語 | English |
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ページ(範囲) | 24-28 |
ページ数 | 5 |
ジャーナル | Journal of General and Family Medicine |
巻 | 21 |
号 | 1 |
DOI | |
出版ステータス | Published - 2020 1月 |
ASJC Scopus subject areas
- 地域医療
- 老年医学
- 内科学