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[Protein-losing enteropathy revealing an idiopathic constrictive pericarditis]
D Launay1, M Lambert, E Hachulla
1Service de médecine interne, centre national de référence des atteintes vasculaires de la sclérodermie, hôpital Claude-Huriez, CHRU de Lille, université Lille-II, rue Michel-Polonovski, 59037 Lille cedex, France. d-launay@chru-lille.fr
La Revue De Medecine Interne
|December 5, 2006
Summary
Constrictive pericarditis is a rare cause of protein-losing enteropathy. Diagnostic imaging like CT or MRI, followed by right heart catheterization, is crucial for unexplained cases.
Area of Science:
- Cardiology
- Gastroenterology
Background:
- Protein-losing enteropathy (PLE) diagnosis can be challenging.
- Constrictive pericarditis is an uncommon etiology of PLE.
Observation:
- This study reports a case of PLE that revealed constrictive pericarditis.
- The patient presented with symptoms indicative of PLE.
Findings:
- Unexplained PLE may be caused by chronic pericarditis.
- Standard echocardiography may not detect constrictive pericarditis.
- Advanced imaging (CT/MRI) and right heart catheterization are vital for diagnosis.
Implications:
- Clinicians should consider constrictive pericarditis in unexplained PLE cases.
- A multi-modal diagnostic approach is recommended for persistent PLE.
- Early diagnosis of constrictive pericarditis can prevent further complications.
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