Document Detail


A case of Noonan syndrome and Whipple's disease in the same patient.
MedLine Citation:
PMID:  19322929     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the first known case of both Noonan syndrome and Whipple's disease occurring in the same patient. A 36-year-old female with history of Noonan syndrome developed fatigue, anorexia, arthritis of the knees and hands with a diffuse hyperpigmented rash, night sweats, and an unintentional fifteen pound weight loss over 4 mo. Small bowel enteroscopy demonstrated mild edematous yellowish mucosa without friability. Random small bowel biopsies revealed extensive periodic acid-Schiff positive material within the foamy macrophages. She was treated with a 12 mo course of trimethoprim-sulfamethoxazole DS with clinical improvement to baseline status.
Authors:
Sundip S Karsan; Hetal A Karsan; Anand S Karsan; James Ian McMillen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  15     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-26     Completed Date:  2009-05-14     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  1524-7     Citation Subset:  IM    
Affiliation:
Cedars-Sinai Medical Center, 8700 Beverly Blvd, Room 5512, Los Angeles, California, CA 90048, USA. sundip.karsan@cshs.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Infective Agents / therapeutic use
Biopsy
Female
Humans
Macrophages / pathology
Noonan Syndrome / complications*,  pathology
Sulfamethoxazole / therapeutic use*
Treatment Outcome
Trimethoprim / therapeutic use*
Whipple Disease / complications*,  drug therapy,  pathology
Chemical
Reg. No./Substance:
0/Anti-Infective Agents; 723-46-6/Sulfamethoxazole; 738-70-5/Trimethoprim
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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