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Protein Losing Enteropathy (view source)
Revision as of 10:18, 18 August 2009
, 10:18, 18 August 2009no edit summary
====Other Tests====
====Other Tests====
*Measurement of faecal loss alpha1-protease inhibitor
===Diagnostic Imaging===
===Diagnostic Imaging===
====Radiography====
*Abdominal radigraps are usually unremarkable.
*Thoracic radiographs may show pleural effusion, metastatic neoplasia or eveidence of histoplasmosis.
====Ultrasonography====
*This may reveal thickening of intestines, mesenteric lymphadenopathy or abdominal effusion.
===Histopathology===
===Histopathology===
*Endoscopically guided multiple biopsies are useful. However, surgical biopsy may be required for a definitive diagnosis of lymphoma and secondary lymphangiectasia.
==Treatment==
==Treatment==
===Plasma transfusion===
*This may be required to increase plasma volume perioperatively.
===Diuretics===
*This can be used to reduce ascites
*Spironolactone 1-2 mg/kg PO BID may be more effective than frusemide.