Case report: reversal of decreased bone mass by antibiotic treatment in a patient with Whipple's disease.
Whipple's disease is a rare systemic illness, with the main clinical feature being severe malabsorption syndrome. Bone involvement in the disease has rarely been described in previous articles. The authors report a case in which an extensive skeletal evaluation was carried out. Even though osteomalacia is generally considered the most typical metabolic bone disease of malabsorption syndromes, bone biopsy demonstrated that osteoporosis was the prominent histologic feature in this patient. On the basis of serial bone mineral density measurements, antibiotic treatment was able to reverse the initial reduced bone mass.
Carnevale
V
V
Cattedra di Medicina Interna, II Clinical Medica, Università degli Studidi Roma "La Sapienza," Rome, Italy.
Minisola
S
S
Romagnoli
E
E
Rosso
R
R
Marcheggiano
A
A
Iannoni
C
C
Mazzuoli
G
G
D000890:Anti-Infective Agents / Q000627:therapeutic use*; D015519:Bone Density; D006801:Humans; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000188:drug therapy* / Q000209:etiology / Q000473:pathology; D013420:Sulfamethoxazole / Q000627:therapeutic use*; D014295:Trimethoprim / Q000627:therapeutic use*; D008061:Whipple Disease / Q000150:complications / Q000188:drug therapy* / Q000473:pathology
D000890:Anti-Infective Agents; D014295:Trimethoprim; D013420:Sulfamethoxazole