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Transient Protein-Losing Enteropathy and Enlarged Gastric Rugae-Reply

Transient Protein-Losing Enteropathy and Enlarged Gastric Rugae-Reply Abstract In Reply.—I appreciate Dr Bloom's comments on our article in the Journal. However, several annotations to those comments are appropriate. My colleagues and I believe, as does Dr Bloom, that the coincidence of hypertrophic gastric folds and protein-losing enteropathy in children does not necessarily signify Ménétrier's disease, which is a condition with a course that differs from that of the children whom we described in our article. We sought to identify a subgroup of such children on historical and epidemiologic criteria and found that available evidence suggested a similar origin or pathogenesis in several instances. Using our standards, I can accept the cases reported by Floret et al1 (this patient also had evidence of cytomegalovirus infection) and by Gwinn and Lee2 as similar to our cases. However, the case reported by Colon and Sandberg3 is identical to the case reported by Sandberg4 alone and was References 1. Floret D, Renaud H, Hage G, et al: Gastrite avec hypoproteinemie chez l'enfant . Arch Fr Pediatr 1978;35:82-84. 2. Gwinn JL, Lee FA: Radiological case of the month . Am J Dis Child 1976;130:419-420. 3. Colon AR, Sandberg DH: Protein-losing enteropathy in childhood . South Med J 1973; 66:641-644.Crossref 4. Sandberg DH: Hypertrophic gastropathy (Ménétrier's disease in childhood) . J Pediatr 1971;78:866-868.Crossref 5. Humphrey HA: Some observations on gastric disease in pediatric roentgenology . AJR 1960;84:518-531. 6. Kadlec G, Goodwin R, Fellows R, et al: Ménétrier's disease in children . South Med J 1979;72:33-36.Crossref 7. Chouraqui JP, Roy CC, Brochu P, et al: Ménétrier's disease in children: Report of a patient and review of 16 other cases . Gastroenterology 1981;80:1042-1047. 8. Schuster W: Clinical roentgenologic signs of giant hypertrophic gastritis in childhood (Ménétrier's disease) . Ann Radiol 1967;10:221-225. 9. Bernard R, Carcissone M, Giraud F, et al: Maladie de Ménétrier, diabete et cirrhos chez un enfant age de 14 ans . Pediatrie 1970;25:787. 10. Lachman RS, Martin DJ, Vawter GF: Thick gastric folds in childhood . AJR 1971;112:8392.Crossref 11. Newman CL, McClure JP, Bentley JFR: Ménétrier's syndrome in childhood . Acta Paediatr Scand 1976;65:753-755.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Transient Protein-Losing Enteropathy and Enlarged Gastric Rugae-Reply

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Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1981.02130360052024
Publisher site
See Article on Publisher Site

Abstract

Abstract In Reply.—I appreciate Dr Bloom's comments on our article in the Journal. However, several annotations to those comments are appropriate. My colleagues and I believe, as does Dr Bloom, that the coincidence of hypertrophic gastric folds and protein-losing enteropathy in children does not necessarily signify Ménétrier's disease, which is a condition with a course that differs from that of the children whom we described in our article. We sought to identify a subgroup of such children on historical and epidemiologic criteria and found that available evidence suggested a similar origin or pathogenesis in several instances. Using our standards, I can accept the cases reported by Floret et al1 (this patient also had evidence of cytomegalovirus infection) and by Gwinn and Lee2 as similar to our cases. However, the case reported by Colon and Sandberg3 is identical to the case reported by Sandberg4 alone and was References 1. Floret D, Renaud H, Hage G, et al: Gastrite avec hypoproteinemie chez l'enfant . Arch Fr Pediatr 1978;35:82-84. 2. Gwinn JL, Lee FA: Radiological case of the month . Am J Dis Child 1976;130:419-420. 3. Colon AR, Sandberg DH: Protein-losing enteropathy in childhood . South Med J 1973; 66:641-644.Crossref 4. Sandberg DH: Hypertrophic gastropathy (Ménétrier's disease in childhood) . J Pediatr 1971;78:866-868.Crossref 5. Humphrey HA: Some observations on gastric disease in pediatric roentgenology . AJR 1960;84:518-531. 6. Kadlec G, Goodwin R, Fellows R, et al: Ménétrier's disease in children . South Med J 1979;72:33-36.Crossref 7. Chouraqui JP, Roy CC, Brochu P, et al: Ménétrier's disease in children: Report of a patient and review of 16 other cases . Gastroenterology 1981;80:1042-1047. 8. Schuster W: Clinical roentgenologic signs of giant hypertrophic gastritis in childhood (Ménétrier's disease) . Ann Radiol 1967;10:221-225. 9. Bernard R, Carcissone M, Giraud F, et al: Maladie de Ménétrier, diabete et cirrhos chez un enfant age de 14 ans . Pediatrie 1970;25:787. 10. Lachman RS, Martin DJ, Vawter GF: Thick gastric folds in childhood . AJR 1971;112:8392.Crossref 11. Newman CL, McClure JP, Bentley JFR: Ménétrier's syndrome in childhood . Acta Paediatr Scand 1976;65:753-755.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Dec 1, 1981

References