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Idiopathic sclerosing encapsulating peritonitis.

R Narayanan1, B N Bhargava, S G Kabra

  • 1Department of Surgery, Santokba Durlabhji Memorial Hospital, Jaipur, India.

Lancet (London, England)
|July 15, 1989
PubMed
Summary
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Sclerosing encapsulating peritonitis (SEP) was diagnosed in diverse patient groups, suggesting new causes beyond typical associations. Fungal-infected cereals containing amines are a potential etiological factor in these cases.

Area of Science:

  • Gastroenterology
  • Pathology
  • Toxicology

Background:

  • Sclerosing encapsulating peritonitis (SEP) is a rare condition.
  • Idiopathic SEP has primarily been reported in adolescent females.
  • Previous etiological factors like beta-blockers, peritoneal dialysis, or shunting were excluded.

Observation:

  • SEP was diagnosed in two men, one middle-aged woman, and a prepubertal girl.
  • All patients were from two adjacent districts in Rajasthan.
  • None of the patients had risk factors like beta-blockers or peritoneal interventions.

Findings:

  • The study identified a potential link between SEP and consumption of cereals infected with fungus.
  • Biologically active amines within the fungus are hypothesized as the etiological agent.

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  • This broadens the demographic profile of idiopathic SEP.

    • Implications:

    • This finding may necessitate a re-evaluation of the etiology of sclerosing encapsulating peritonitis.
    • Investigating fungal contamination in food sources could be crucial for prevention.
    • Further research is needed to confirm the role of fungal amines in SEP pathogenesis.