1. Protein-losing Enteropathy Complicated with Primary Intestinal Follicular Lymphoma
- Author
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Tomoki Minemura, Yusuke Kamihara, Hiroshi Mihara, Takashi Minamisaka, Sohachi Nanjo, Mayo Fuchino, Shohei Kikuchi, Jun Murakami, Ichiro Yasuda, Tsutomu Sato, Akinori Wada, and Akira Noguchi
- Subjects
Double-Balloon Enteroscopy ,Hypoproteinemia ,Enteroscopy ,medicine.medical_specialty ,business.industry ,Protein-Losing Enteropathies ,Protein losing enteropathy ,Follicular lymphoma ,General Medicine ,medicine.disease ,Gastroenterology ,Internal medicine ,Primary Intestinal Follicular Lymphoma ,Internal Medicine ,Etiology ,Humans ,Medicine ,Rituximab ,Enteropathy ,business ,Lymphoma, Follicular ,medicine.drug - Abstract
Protein-losing enteropathy (PLE) is a rare syndrome characterized by hypoproteinemia due to gastrointestinal (GI) protein loss. Primary intestinal follicular lymphoma (PIFL), a specific variant of follicular lymphoma with essential only GI involvement, has not been reported as an etiology of PLE. We herein report a case of PLE complicated with PIFL that was successfully treated with rituximab, resulting in rapid improvement of PLE and a complete response of PIFL. Macroscopic findings of ulcerative lesions with diffuse involvement, which were precisely described by capsule and double-balloon enteroscopy at the diagnosis, also improved following the treatment. This case provides a clue suggesting factors that promote PLE in PIFL.
- Published
- 2022