INTRODUCTION Systemic lupus erythematosus is a disease which may initially present with varying symptoms, most commonly a photosensitive rash and arthritis. Protein losing enteropathy is a recognized but rare presenting manifestation. Diagnosing protein losing enteropathy in resource limited centres is challenging but possible through the exclusion of other possible causes of hypoalbunaemia. ...

A 28 year old woman with protein losing enteropathy due to intestinal lymphangiectasia is presented. The patient had diarrhoea, oedema restricted to the lower extremities, hypoproteinemia and an abnormal radiological appearance of the small intestines. Jejunal biopsy and the histopatho-logy report of the resected jejunum showed dilated lymphatics in the submucosa. Post-operatively patient showe...

OBJECTIVE The aim of the study is to evaluate paediatric patients with protein losing enteropathy (PLE). METHODS Fourteen cases diagnosed as PLE were evaluated in terms ofaetiologies, diagnostic methods, laboratory findings, treatment procedures and long-term prognosis. RESULTS Four of the cases had coeliac disease, three intestinal lymphangiectasia, three giardia infection, one H pylori in...

BACKGROUND Although paradoxical virological and immunological response after HAART has been well studied, intestinal lymphangiectasia (IL) in HIV-1 infected patients has not previously described. METHODS To describe HIV patients who developed IL. DESIGN Clinical Case series. PATIENTS 4 patients with HIV and IL diagnosis based on clinical, endoscopic and pathological findings. RESULTS Al...

BACKGROUND small bowel structure and function are not different between elderly people and young people. Thus, in principle it is advisable to perform diagnostic investigation of elderly patients as well as younger patients when they present with symptoms suggestive of intestinal malabsorption. A key test for the etiologic diagnosis of intestinal malabsorption, jejunal biopsy, has not been spec...