Journal of the Korean Pediatric Society 1997;40(12):1750-1755.
Published online December 15, 1997.
Protein Losing Entropathy Due to TB Enterocolitis was Detected by 99mTc-Human Serum Albumin Scan
Hyoung No Kim1, Jae Won Huh1, Sang Gun Bee2, Yong Woon Back1, Chang Hyun Lee1
1Department of Pediatrics, Gospel Hospital, College of Kosin Medicine, Pusan, Korea
2고신대학교 의과대학 핵의학교실
테그네슘표지 인혈청알부민 스캔으로 진단된 결핵성 단백소실 장질환 1례
김형노1, 허재원1, 배상균2, 백용운1, 이창연1
1고신대학교 의과대학 소아과학교실
2고신대학교 의과대학 핵의학교실
Abstract
Protein losing entropathy was a secondary disorder of the gastrointestinal tract, which is associated with lymphatic obstruction, inflammatory and noninflammatroy disease. It' s clinical manifestations were abdominal pain, edema, diarrhea and growth failure. We described a 12-year-old boy, who had chronic diarrhea for 3 months and edema of lower extremities for 7 days. He also had severe hypoalbuminemia, iron definency anemia, liver diseases and malnurition, but had not proteinuria. For Diagnostic Techque, we used 99mTc-human serum albumin scan which is anterior abdominal scintigraphy after intravenous injection of 99mTc-human serum albumin. 99mTc-human serum albumin scan was useful for not only diagnosis of protein losing enteropathy, but also, detection of pathologic region of the gastrointestinal tract. In our patient, which was consistent with tubeculosis induced enterocolitis, 99mTc activity was showed in the ascending and the descending colon. 99mTc-human serum albumin scan also must be validated by more extended study and comparison with the quantitative study such as stool α1-antitrypsin measurement.
Key Words: Protein Losing Enteropathy, 99mTc-Human Serum Albumin Scan


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