[Cytomegalovirus-induced protein-losing gastropathy: a case report]
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Published on: October 18, 2018
C Pederiva1, A Ruscitto, I Brunetti
1Clinica Pediatrica, Ospedale San Paolo, Università di Milano.
Insights
Pediatric protein-losing gastropathy, or Menetrier's disease, is rare. This case highlights Cytomegalovirus (CMV) infection as a potential cause in children, suggesting a link between CMV and this uncommon condition.
Area of Science:
- Pediatric Gastroenterology
- Virology
- Pathology
Background:
- Protein-losing gastropathy, also known as Menetrier's disease, is an uncommon condition with uncertain causes.
- Pediatric cases are rare, typically presenting with a benign and transient course requiring supportive care.
Observation:
- A pediatric case presented with vomiting, weight loss, abdominal pain, and hypoalbuminemia.
- The patient exhibited hypertrophic gastropathy with significant protein loss.
Findings:
- Gastric mucosal biopsy confirmed morphological evidence of Cytomegalovirus (CMV) infection.
- This finding supports the hypothesis of CMV's role in the pathogenesis of pediatric Menetrier's disease.
Implications:
- Highlights the potential role of Cytomegalovirus in pediatric protein-losing gastropathy.
- Suggests diagnostic consideration of CMV in similar pediatric cases.
- Contributes to understanding the etiology of uncommon pediatric gastrointestinal disorders.
Abstract:
Protein-losing gastropathy is an uncommon disease of uncertain etiology, known also as Menetrier's disease. In medical literature only 50 pediatric cases have been described. These childhood forms, in contrast to classic adult Menetrier's disease, have a typical benign and transient course, and require only supportive therapy. The role of Cytomegalovirus (CMV) in the pathogenesis has been demonstrated by gastric biopsy in one third of the cases. Also other infectious, allergic and immunological factors have been hypothesized. We describe a case of hypertrophic gastropathy with important protein-loss, admitted to our Pediatric Department for evaluation because of vomit, weight loss, abdominal pain and hypoalbuminemia. Gastric mucosal biopsy revealed a morphological evidence of CMV infection.
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