A case of a 13-year-old patient with whipple disease
https://doi.org/10.21518/2079-701X-2019-3-108-117
Abstract
In the present article, the authors provide detailed material on the 13-year observation of a patient with such a rare disease as Whipple’s disease. Pathophysiological aspects, in particular changes in immunity within the framework of this nosology, clinical picture are also described in detail, and the emphasis is placed on the interrelation of certain symptoms, their intensification and regression. Taking into account the absence of clear recommendations for the management of such patients, the article considers various options of therapeutic schemes, and also reflects the own results of treatment.
About the Authors
E. V. Zhilyaev
European Medical Center Joint Stock Company
Russian Federation
Russian Federation
Dr. of Sci. (Med), Professor, chief physician of the European Medical Center joint-stock company; chief rheumatologist of Moscow, doctor of the highest category,
129090, Moscow, Shchepkina St., 35
D. T. Dicheva
Federal State Budgetary Educational Institution of the Higher Education «Moscow State University of Medicine and Dentistry named after A.I. Yevdokimov» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Associate Professor of the Department of Propaedeutics of Internal Diseases and Gastroenterology, gastroenterologist of «European Medical Center» JSC,
127473, Moscow, 20, b. 1, Delegateskaya St.
D. N. Andreev
Federal State Budgetary Educational Institution of the Higher Education «Moscow State University of Medicine and Dentistry named after A.I. Yevdokimov» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Associate Professor of the Department of Propaedeutics of Internal Diseases and Gastroenterology, Researcher of the Laboratory of Functional Research Methods in Gastroenterology,
127473, Moscow, 20, b. 1, Delegateskaya St.
O. E. Berezutskaya
Federal Public Health Institution «Main Clinical Hospital of the Ministry of Internal Affairs of the Russian Federation»
Russian Federation
Russian Federation
Colonel of Internal Service, Head of Gastroenterology Department,
123060, Moscow, 35, Narodnogo Opolocheniya St.
N. L. Golovkina
Federal Public Health Institution «Main Clinical Hospital of the Ministry of Internal Affairs of the Russian Federation»
Russian Federation
Russian Federation
Major of Internal Service, Deputy Head of the Gastroenterology Department,
123060, Moscow, 35, Narodnogo Opolocheniya St.
E. I. Kuznetsova
Federal State Budgetary Educational Institution of the Higher Education «Moscow State University of Medicine and Dentistry named after A.I. Yevdokimov» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Postgraduate Student of the Department of Propaedeutics of Internal Diseases and Gastroenterology,
127473, Moscow, 20, b. 1, Delegateskaya St.
E. G. Prokhorova
Federal Public Health Institution «Main Clinical Hospital of the Ministry of Internal Affairs of the Russian Federation»
Russian Federation
Russian Federation
Colonel of internal service, head of the radioisotope diagnostics department,
123060, Moscow, 35, Narodnogo Opolocheniya St.
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Review
For citations:
Zhilyaev EV, Dicheva DT, Andreev DN, Berezutskaya OE, Golovkina NL, Kuznetsova EI, Prokhorova EG. A case of a 13-year-old patient with whipple disease. Meditsinskiy sovet = Medical Council. 2019;(3):108-117. (In Russ.) https://doi.org/10.21518/2079-701X-2019-3-108-117
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