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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
1989-3-24
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pubmed:abstractText |
A patient with Whipple's disease presented with a long prodromal period characterized by granulomatous lymphadenitis and progressive lymphedema of the extremities. No gastrointestinal tract symptoms were present and a small bowel biopsy sample was normal. His clinical condition deteriorated with the onset of lymphocytic myocarditis. At autopsy, intestinal involvement with macrophages that stained positively with periodic acid-Schiff was limited primarily to the submucosa. Diffuse fibrous effacement of lymph nodes with afferent lymphangiectasia seemed to be the mechanism of diffuse lymphedema, protein-losing enteropathy, and hypoproteinemia. Whipple's disease, therefore, should be considered in the differential diagnosis of patients presenting with granulomatous disease, lymphocytic myocarditis, or unusual lymphedema.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0098-7484
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
10
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pubmed:volume |
261
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1467-70
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pubmed:dateRevised |
2006-11-7
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pubmed:meshHeading |
pubmed-meshheading:2465422-Adult,
pubmed-meshheading:2465422-Diagnosis, Differential,
pubmed-meshheading:2465422-Granuloma,
pubmed-meshheading:2465422-Humans,
pubmed-meshheading:2465422-Intestine, Small,
pubmed-meshheading:2465422-Lymph Nodes,
pubmed-meshheading:2465422-Lymphedema,
pubmed-meshheading:2465422-Macrophages,
pubmed-meshheading:2465422-Male,
pubmed-meshheading:2465422-Myocarditis,
pubmed-meshheading:2465422-Myocardium,
pubmed-meshheading:2465422-Prednisone,
pubmed-meshheading:2465422-Sarcoidosis,
pubmed-meshheading:2465422-Whipple Disease
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pubmed:year |
1989
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pubmed:articleTitle |
Lymphedema, lymphocytic myocarditis, and sarcoidlike granulomatosis. Manifestations of Whipple's disease.
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pubmed:affiliation |
Department of Pathology, Harvard Medical School, Massachusetts General Hospital, Boston 02114.
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pubmed:publicationType |
Journal Article,
Case Reports
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