title: [Whipple's disease: early diagnosis through articular disease and hyperpigmentation].
abstract: We present a new case of Whipple's disease. The patient have a clinical history of steatorrhea and diarrhea of various years of evolution with hyperpigmentation of skin and mucosae and migratory polyarthralgias with inflammatory sings. The biochemicals analysis for rheumatoid and endocrinological diseases were negatives. A endoscopically yeyunal biopsy was performed and the diagnosis of Whipple's disease was made. We comment this clinical presentation of Whipple's disease with a seronegative inflammatory rheumatological disease. The differential diagnosis with seronegative arthritis was emphasized.
authors.affiliation: Servicio de Medicina Interna, Hospital Narcea, Carmen, Asturias.
authors.forename: R
authors.initials: R
authors.lastname: Gómez de la Torre
authors.forename: I J
authors.initials: IJ
authors.lastname: Claros González
authors.forename: C
authors.initials: C
authors.lastname: López Muñiz
authors.forename: A
authors.initials: A
authors.lastname: Velasco Alvarez
mesh_terms: D000328:Adult; D018771:Arthralgia / Q000150:complications; D003937:Diagnosis, Differential; D006801:Humans; D017495:Hyperpigmentation / Q000150:complications; D008297:Male; D008061:Whipple Disease / Q000175:diagnosis*
vernacular_title: Enfermedad de Whipple: diagnóstico temprano a través de patología articular e hiperpigmentación.