Abstract

Protein-losing enteropathy (PLE) is characterized by the development of hypoproteinemia and the loss of serum proteins from the gastrointestinal system. It can be complicated with edema, acid, malnutrition, and pleural and pericardial effusion. PLE is rare but has many causes. The reasons can be grouped as erosive and non-erosive gastrointestinal diseases, diseases characterized by central venous pressure increase, and diseases characterized by the development of mesenteric lymphatic obstruction. A PLE diagnosis should be made for the patient who presents with hypoproteinemia after excluding other disorders causing malnutrition, proteinuria and impaired protein synthesis. Treatment consists of a supportive treatment that includes dietary modifi cation. This paper presents two infants who developed anasarca-type edema following different causes and were diagnosed with protein-losing enteropathy due to different etiologies

Keywords: Edema, Protein-losing enteropathyn, Infant

References

  1. Uzuner O, Ziessman HA. Protein-losing enteropathy detected by Tc-99m-MDP abdominal scintigraphy. Pediatr Radiol 2008;38: 1122-4.
  2. Umar SB. DiBaise JK. Protein-losing Enteropathy: Case IIlustrati- ons and Clinical Review. Am J Gastroenterol 2010;105:43-9.
  3. Takeda H, Ishihama K, Fukui T, Fujishima S, Orii T, Nakazawa Y, et al. Signifi cance of rapid turnover proteins in protein-losing gastroenteropathy. Hepatogastroenterol 2003;50:1963-5.
  4. Waldmann TA, Steinfeld JL, Dutcher TF, Davidson JD, Gordon RS Jr. The role of the gastrointestinal system in “idiopathic hypoproteinemia”. Gastroenterology 1961;41:197-207.
  5. Braamskamp MJ, Dolman KM, Tabbers MM. Clinical practice. Protein-losing enteropathy in children. Eur J Pediatr 2010;169: 1179-85.

How to cite

1.
Alaygut DE, Kır M, Öztürk Y, Bayram MT, Soylu A, Türkmen M. Two Infants Applying with Anasarca-Type Edema: Protein-Losing Enteropathy. Turk J Pediatr Dis [Internet]. 2015 Apr. 1 [cited 2025 May 24];9(1):47-50. Available from: https://turkjpediatrdis.org/article/view/357