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Quantitative Polymerase Chain Reaction (qPCR)-Based Rapid Diagnosis of Helicobacter pylori Infection and Antibiotic Resistance
Published on: July 28, 2023
[Resolution of Ménétrier's disease after eradication of Helicobacter pylori infection]
S Santolaria Piedrafita1, R Conde García, M Abascal Agorreta
1Sección de Aparato Digestivo, Hospital San Jorge, Huesca, Spain. ssantolaria@able.es
Abstract:
Ménétrier's disease is an infrequent clinical entity characterized by thickening of the gastric folds secondary to hyperplasia of the foveolar mucosa cells, frequently associated with loss of enteric proteins and hypoalbuminemia. Its etiology is unknown, although in the last few years it has been related to Helicobacter pylori infection. We present the case of a 38-year-old man with protein-losing gastroenteropathy caused by Ménétrier's disease, in whom eradication of H. pylori infection was followed by symptom improvement and resolution of hypoalbuminemia. In agreement with the criteria of other authors, we investigate the presence of H. pylori infection in all patients with Ménétrier's disease. When positive, the first-line treatment consists of eradication therapy.
Insights
Ménétrier's disease, a gastric disorder, may improve with Helicobacter pylori eradication. Treating H. pylori infection in patients with Ménétrier's disease can lead to symptom resolution and improved albumin levels.
Area of Science:
- Gastroenterology
- Internal Medicine
- Pathology
Background:
- Ménétrier's disease is a rare condition causing enlarged gastric folds due to foveolar hyperplasia.
- It often presents with protein-losing gastroenteropathy and hypoalbuminemia.
- The exact cause is unknown, but Helicobacter pylori infection is increasingly implicated.
Observation:
- A case study of a 38-year-old male with protein-losing gastroenteropathy due to Ménétrier's disease.
- The patient's symptoms and hypoalbuminemia resolved after successful H. pylori eradication therapy.
- This suggests a potential link between H. pylori and the disease's clinical presentation.
Findings:
- H. pylori infection was investigated in patients diagnosed with Ménétrier's disease.
- Eradication of H. pylori was associated with clinical improvement and normalization of albumin levels.
- This supports H. pylori as a significant factor in some Ménétrier's disease cases.
Implications:
- H. pylori eradication should be considered a first-line treatment for Ménétrier's disease when infection is present.
- Further research is warranted to understand the pathogen's role in the disease's etiology.
- This approach may improve patient outcomes and reduce complications associated with hypoalbuminemia.
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