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Use of In vivo Imaging to Monitor the Progression of Experimental Mouse Cytomegalovirus Infection in Neonates
Published on: July 6, 2013
[Ménétrieŕs disease associated with cytomegalovirus infection]
B Fernández Caamaño1, E Ramos Boluda1, E Martínez-Ojinaga Nodal1
1Servicio de Gastroenterología, Hospital Universitario La Paz, Madrid, España.
Abstract:
Menetrier's disease is a rare entity in children, characterized by a protein-losing gastroenteropathy with thickening of the gastric mucosa and generalized edema. The most common etiology is viral, and cytomegalovirus is the agent most frequently implicated. Unlike in the adult, it is a self-limited disorder with a good prognosis in children. Four patients (three boys and one girl) diagnosed with Ménétrier disease in the past five years were reviewed. The mean age at presentation was 28.7 months (range: 10-48 months). The most common clinical symptoms were fever, vomiting, and edema. Endoscopy showed thickened gastric folds and erosions in several stages. All patients had an associated gastric cytomegalovirus infection, and a favorable outcome, with resolution of the disorder,was observed within a few weeks.
Insights
Menetrier disease in children is a rare, self-limited condition often caused by cytomegalovirus. Prompt diagnosis and treatment lead to a favorable prognosis and symptom resolution within weeks.
Area of Science:
- Pediatric Gastroenterology
- Viral Infections
- Gastrointestinal Disorders
Background:
- Menetrier disease is a rare condition in children characterized by protein-losing gastroenteropathy, gastric mucosal hypertrophy, and edema.
- While often viral in adults, cytomegalovirus (CMV) is the most common cause in pediatric cases.
- Unlike in adults, pediatric Menetrier disease typically follows a self-limited course with a good prognosis.
Purpose of the Study:
- To review the clinical presentation, diagnosis, and outcomes of pediatric Menetrier disease.
- To highlight the association with cytomegalovirus infection in children.
- To emphasize the generally favorable prognosis in this pediatric population.
Main Methods:
- Retrospective review of four pediatric patients diagnosed with Menetrier disease over five years.
- Analysis of clinical symptoms, endoscopic findings, and diagnostic workup, including CMV testing.
- Evaluation of treatment response and patient outcomes.
Main Results:
- Four patients (3 boys, 1 girl) with a mean age of 28.7 months presented with fever, vomiting, and edema.
- Endoscopic findings included thickened gastric folds and erosions.
- All patients had concurrent gastric cytomegalovirus infection and experienced symptom resolution within weeks.
Conclusions:
- Pediatric Menetrier disease, frequently linked to cytomegalovirus, presents with characteristic gastrointestinal symptoms and endoscopic findings.
- The disorder is typically self-limiting in children, with a favorable prognosis and rapid recovery.
- Early identification of CMV infection is crucial for managing pediatric Menetrier disease effectively.
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