Article Text
Abstract
We report the case of a 63-year-old female patient with liver cirrhosis who presented with symptoms of severe hypoalbuminaemia and diarrhoea. After ruling out other causes of hypoalbuminaemia and confirmation of an elevated faecal α-1 antitrypsin clearance, the diagnosis of protein-losing enteropathy (PLE) could be established. Since PLE is a syndrome caused by various diseases, classified into erosive and non-erosive gastrointestinal diseases or lymphatic obstruction, an extensive work-up was necessary, establishing the final diagnosis of Crohn’s disease.
- endoscopy
- Crohn's disease
- malabsorption
- general practice / family medicine
- inflammatory bowel disease
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Footnotes
Contributors FRM: substantial contributions to the conception or design of the work, drafting the work and approved the final version. BM: interpretation of data for the work, revising it critically for important intellectual content and approved the final version. LB: interpretation of data for the work, revising it critically for important intellectual content and approved the final version. PS: substantial contributions to the conception or design of the work, drafting the work and approved the final version.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.