Maladie de Whipple: quand y penser [Whipple's disease, when to think about it?].
Détails
ID Serval
serval:BIB_A63A4F86862D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Maladie de Whipple: quand y penser [Whipple's disease, when to think about it?].
Périodique
Revue Médicale Suisse
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
2015
Volume
11
Numéro
484
Pages
1582, 1584-1582, 1586
Langue
français
Notes
Publication types: English Abstract ; Journal Article Publication Status: ppublish
Résumé
Whipple's disease is a chronic, systemic, bacterial infection caused by Tropheryma whipplei. Its cardinal symptoms include intermittent and recurrent arthralgia or arthritis together with chronic diarrhoea, abdominal pain and weight loss. It may mimick many chronic inflammatory diseases, and the diagnosis remains a challenge. Salivary and faecal quantitative PCR for T. whipplei should be ensued, if positive, by an upper endoscopy for duodenal biopsies. The treatment consists of a combination of oral doxycycline and hydroxychloroquine for 12 months followed by life-long doxycycline. Whipple's disease, although rare, is an entity that should be considered regularly, as its progression may be fatal if left untreated.
Pubmed
Création de la notice
23/12/2015 13:52
Dernière modification de la notice
20/08/2019 15:11