title: An unusual treatment for protein losing enteropathy.
abstract: We present the case of a 22-year-old man with a Fontan circulation who suffered from intractable protein losing enteropathy for an 8-year period necessitating several hospital admissions for recurrent pleural effusions and edema. Despite trying several recognized medical therapies to alleviate his protein losing enteropathy, his condition did not improve until the introduction of loperamide for troublesome diarrhea. Following this, his symptoms and serum albumin improved dramatically and he has not required any further hospital admissions at 22 months follow up.
authors.affiliation: Department of Congenital Cardiology, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK. jonwindram@hotmail.com
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Windram
authors.forename: Paul F J
authors.initials: PF
authors.lastname: Clift
authors.forename: John
authors.initials: J
authors.lastname: Speakman
authors.forename: Sara A
authors.initials: SA
authors.lastname: Thorne
mesh_terms: D000930:Antidiarrheals / Q000627:therapeutic use*; D015415:Biomarkers / Q000097:blood; D003967:Diarrhea / Q000188:drug therapy* / Q000209:etiology; D018729:Fontan Procedure / Q000009:adverse effects*; D006801:Humans; D008139:Loperamide / Q000627:therapeutic use*; D008297:Male; D011504:Protein-Losing Enteropathies / Q000097:blood / Q000188:drug therapy* / Q000209:etiology; D012709:Serum Albumin / Q000378:metabolism*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000930:Antidiarrheals; D015415:Biomarkers; D012709:Serum Albumin; D008139:Loperamide