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A Case of Acute Lymphoblastic Leukemia Presenting with Protein-Losing Enteropathy
Author(s) -
Seon Young Kim,
Joong Goo Kwon,
Myung Hwan Kim,
Jae Young Oh,
Jinhong Park,
Kyung Chan Park,
Jung Il Ryoo,
Hun Mo Ryoo
Publication year - 2012
Publication title -
korean journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.203
H-Index - 25
eISSN - 2233-6869
pISSN - 1598-9992
DOI - 10.4166/kjg.2012.60.5.320
Subject(s) - medicine , hypoproteinemia , protein losing enteropathy , enteropathy , epigastric pain , lymphoblastic leukemia , edema , gastroenterology , acute leukemia , hypoalbuminemia , bone marrow , leukemia , pathology , vomiting , disease
Protein-losing enteropathy (PLE) is a syndrome characterized by excessive gastrointestinal protein loss, resulting in hypoproteinemia and edema. A variety of benign and malignant conditions can be associated with PLE and acute leukemia is a very rare cause of PLE. We report a case of PLE associated with acute lymphoblastic leukemia. A 27-year-old man was admitted due to watery diarrhea, epigastric pain and bilateral leg edema. Laboratory findings showed hypoproteinemia and polycythemia. The diagnosis of PLE and acute lymphoblastic leukemia were confirmed on the measurement of fecal a1-antitrypsin clearance and bone marrow examination. After systemic chemotherapy and autologous stem cell transplantation, his clinical symptoms and abnormal laboratory findings were gradually improved.

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