1/3. Tropical sprue in two foreign residents, with evidence of tropheryma whippelii in one case.Tropical sprue is a rare disease in travelers. Its etiology remains unclear. We report two cases of tropical sprue occurring in long-term residents in nepal and cameroon. In one case, tropheryma whippelii, the agent of Whipple's disease, was identified. Many infectious agents have been suggested to be the etiological agent of tropical sprue, but no association with Whipple's disease has yet been reported.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
2/3. polyarteritis nodosa of the epididymis in a patient with Whipple's disease.The case of a 55-year-old white male who developed necrotizing arteritis localized to the superior pole of the epididymis is presented. He had a history of Whipple's disease and euthyroid Graves' disease. Histopathologic section of an extratesticular mass showed a necrotizing vasculitis with giant cells; periodic acid Schiff stain for Whipple "bacilli" was negative. The combination of rare diseases in our patient suggests the possibility of a common infectious or immune etiology, perhaps mediated via circulating immune complexes.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
3/3. Whipple's disease: a continuous challenge.Whipple's disease is a rare disease with protean clinical manifestations, often mimicking those of other pathological conditions. We describe two new cases, one admitted to hospital only after giardia lamblia infestation had drawn attention to gut symptoms, and the other who was treated for a long time with steroids for suspected Horton's arteritis. Once again, we stress the importance of bearing this polymorph disease in mind, especially in older people.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |