[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.

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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