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Meudec L, Jelin G, Goossens J, Forien M, Jacquier H, Dieudé P, Ottaviani S. Whipple disease mimicking polymyalgia rheumatica with initial response to tocilizumab. Intern Med J 2021; 51:2151-2152. [PMID: 34939291 DOI: 10.1111/imj.15281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 09/10/2020] [Accepted: 09/16/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Loic Meudec
- Université Paris Diderot, Sorbonne Paris Cité, UFR de Médecine, Paris, France.,AP-HP, Service de Rhumatologie, Hôpital Bichat, Paris, France
| | - Germain Jelin
- Université Paris Diderot, Sorbonne Paris Cité, UFR de Médecine, Paris, France.,AP-HP, Service de Rhumatologie, Hôpital Bichat, Paris, France
| | - Julia Goossens
- Université Paris Diderot, Sorbonne Paris Cité, UFR de Médecine, Paris, France.,AP-HP, Service de Rhumatologie, Hôpital Bichat, Paris, France
| | - Marine Forien
- Université Paris Diderot, Sorbonne Paris Cité, UFR de Médecine, Paris, France.,AP-HP, Service de Rhumatologie, Hôpital Bichat, Paris, France
| | - Hervé Jacquier
- Université Paris Diderot, Sorbonne Paris Cité, UFR de Médecine, Paris, France.,AP-HP, Service de Bactériologie-Virologie, Hôpital Lariboisière, Paris, France
| | - Philippe Dieudé
- Université Paris Diderot, Sorbonne Paris Cité, UFR de Médecine, Paris, France.,AP-HP, Service de Rhumatologie, Hôpital Bichat, Paris, France
| | - Sébastien Ottaviani
- Université Paris Diderot, Sorbonne Paris Cité, UFR de Médecine, Paris, France.,AP-HP, Service de Rhumatologie, Hôpital Bichat, Paris, France
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2
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Estévez-Gil M, de Castro-Parga ML, Carballo-Fernandez C, San Martín-Alonso M, Machado-Prieto B, Cid-Gómez LA, Caride-López G. [Whipple disease in a patient under anti-TNFα therapy]. GASTROENTEROLOGIA Y HEPATOLOGIA 2015; 39:334-5. [PMID: 26027513 DOI: 10.1016/j.gastrohep.2015.04.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2015] [Revised: 04/08/2015] [Accepted: 04/13/2015] [Indexed: 10/23/2022]
Affiliation(s)
- Melania Estévez-Gil
- Servicio de Medicina Interna, Hospital Meixoeiro, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España.
| | - Maria Luisa de Castro-Parga
- Servicio de Aparato Digestivo, Hospital Meixoeiro, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España
| | - Carmen Carballo-Fernandez
- Unidad de Cuidados Intensivos, Hospital Meixoeiro, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España
| | - Mario San Martín-Alonso
- Servicio de Anatomía Patológica, Hospital Meixoeiro, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España
| | - Begoña Machado-Prieto
- Servicio de Medicina Interna, Hospital Meixoeiro, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España
| | - Lucia Amelia Cid-Gómez
- Servicio de Aparato Digestivo, Hospital Meixoeiro, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España
| | - Gloria Caride-López
- Servicio de Medicina Interna, Hospital Meixoeiro, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España
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3
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Baloira A, Núñez M, Tumbeiro M, Parente-Lamelas I, Bastos M, Gutiérrez M. Pulmonary hypertension associated with Whipple disease. Eur Respir Rev 2014; 23:533-6. [DOI: 10.1183/09059180.00005714] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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4
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Reversible Pulmonary Hypertension Associated with Whipple’s Disease. Case Rep Pulmonol 2012; 2012:382460. [PMID: 23082271 PMCID: PMC3467797 DOI: 10.1155/2012/382460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2012] [Accepted: 09/05/2012] [Indexed: 11/17/2022] Open
Abstract
We describe a case of Whipple’s disease with pulmonary hypertension in a 72-year-old woman in whom the pulmonary hypertension resolved completely after antibiotic therapy. She was admitted to study with a 2-months history of weight loss, diarrhoea, abdominal pain, asthenia, inappetence, and fever. She did not have dyspnoea or respiratory symptoms. A casual echocardiogram showed a pulmonary artery systolic pressure of 95 mmHg. Forty days after starting antibiotic therapy, an echocardiogram showed a complete normalisation of right ventricular involvement. Whipple’s disease is a rare and multisystemic disorder in which pulmonary involvement is not a well-known finding. Although Whipple’s disease is not generally considered as a possible cause of pulmonary hypertension, such awareness is important because it may be potentially resolved with antibiotic therapy.
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