Maladie de Whipple: quand y penser [Whipple's disease, when to think about it?].
Details
Serval ID
serval:BIB_A63A4F86862D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Maladie de Whipple: quand y penser [Whipple's disease, when to think about it?].
Journal
Revue Médicale Suisse
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
2015
Volume
11
Number
484
Pages
1582, 1584-1582, 1586
Language
french
Notes
Publication types: English Abstract ; Journal Article Publication Status: ppublish
Abstract
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
Create date
23/12/2015 13:52
Last modification date
20/08/2019 15:11