Whipple's disease presenting as chronic wastage and abdominal lymphadenopathy.
We describe a 24-year-old man who presented with chronic wastage and massive abdominal lymphadenopathy which strongly resembled a malignant neoplasm. Biopsy of mesenteric lymph nodes with ancillary studies led to the correct diagnosis of Whipple's disease. These symptoms began 2 months after the patient returned from military service in the Persian Gulf.
Friedman
H D
HD
Department of Pathology and Laboratory Medicine, SUNY Health Science Center, Syracuse, New York 13210, USA.
Hadfield
T L
TL
Lamy
Y
Y
Fritzinger
D
D
Bonaventura
M
M
Cynamon
M T
MT
D000328:Adult; D001431:Bacteriological Techniques; D003937:Diagnosis, Differential; D004587:Electrophoresis, Agar Gel; D005798:Genes, Bacterial; D006801:Humans; D008206:Lymphatic Diseases / Q000175:diagnosis* / Q000382:microbiology; D008297:Male; D008854:Microscopy, Electron; D009369:Neoplasms / Q000175:diagnosis; D016133:Polymerase Chain Reaction; D008061:Whipple Disease / Q000175:diagnosis* / Q000382:microbiology*