[Malabsorption syndrome. Rare differential diagnosis in a young patient].
In a young female patient originally coming from Albany, immunoproliferative small intestinal disease (IPSID) could be diagnosed as a cause for severe maladsorption. Considering clinical and histological criteria an early disease stage of IPSID could be diagnosed. Under the continuous treatment of doxycycline for more than 3 1/2 years, all disease manifestations like watery diarrhea, vomiting, pain in the upper abdomen and loss of weight disappeared. After discontinuation of the antibiotic therapy the patient reached a sustained response.
Abteilung Innere Medizin I, Medizinische Universitätsklinik Tübingen. michael.bitzer@uni-tuebingen.de
M
M
Bitzer
E
E
Kaiserling
M S
MS
Horger
O
O
Nehls
R
R
Porschen
M
M
Gregor
B
B
Klump
D015746:Abdominal Pain / Q000209:etiology* / Q000473:pathology; D000328:Adult; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000008:administration & dosage; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005753:Gastric Mucosa / Q000473:pathology; D005767:Gastrointestinal Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D007161:Immunoproliferative Small Intestinal Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D007413:Intestinal Mucosa / Q000473:pathology; D008134:Long-Term Care; D008286:Malabsorption Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D014057:Tomography, X-Ray Computed
D004318:Doxycycline