title: Giardiasis with protein-losing enteropathy: diagnosis by fecal alpha 1-antitrypsin determination.
abstract: Giardia lamblia infection was documented by jejunal biopsy in a previously healthy 2-year-old boy with acute onset of hypoproteinemia due to protein-losing enteropathy. All symptoms and abnormal laboratory findings resolved with anti-Giardia therapy. This is only the second case report of giardiasis with documented protein-losing enteropathy. Further application of the fecal alpha 1-antitrypsin assay may help to clarify the relationship between Giardia infection and protein-losing enteropathy and its role in development of malnutrition.
authors.affiliation: Department of Pediatrics, Hadassah University Hospital, Jerusalem, Israel.
authors.forename: S H
authors.initials: SH
authors.lastname: Korman
authors.forename: B
authors.initials: B
authors.lastname: Bar-Oz
authors.forename: A
authors.initials: A
authors.lastname: Mandelberg
authors.forename: I
authors.initials: I
authors.lastname: Matoth
mesh_terms: D002675:Child, Preschool; D005243:Feces / Q000032:analysis*; D005873:Giardiasis / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D011504:Protein-Losing Enteropathies / Q000175:diagnosis* / Q000209:etiology; D000515:alpha 1-Antitrypsin / Q000032:analysis*
chemical_list: D000515:alpha 1-Antitrypsin