All issues > Volume 40(12); 1997

Case Report

J Korean Pediatr Soc. 1997;40(12):1750-1755. Published online December 15, 1997.

Protein Losing Entropathy Due to TB Enterocolitis was Detected by 99mTc-Human Serum Albumin Scan

Hyoung No HN Kim¹, Jae Won JW Huh¹, Sang Gun SG Bee², Yong Woon YW Back¹, Chang Hyun CH Lee¹

¹Department of Pediatrics, Gospel Hospital, College of Kosin Medicine, Pusan, Korea
²고신대학교 의과대학 핵의학교실

Abstract

Protein losing entropathy was a secondary disorder of the gastrointestinal tract, which is associated with lymphatic obstruction, inflammatory and noninflammatroy disease. It' s clinical manifestations were abdominal pain, edema, diarrhea and growth failure. We described a 12-year-old boy, who had chronic diarrhea for 3 months and edema of lower extremities for 7 days. He also had severe hypoalbuminemia, iron definency anemia, liver diseases and malnurition, but had not proteinuria. For Diagnostic Techque, we used 99mTc-human serum albumin scan which is anterior abdominal scintigraphy after intravenous injection of 99mTc-human serum albumin. 99mTc-human serum albumin scan was useful for not only diagnosis of protein losing enteropathy, but also, detection of pathologic region of the gastrointestinal tract. In our patient, which was consistent with tubeculosis induced enterocolitis, 99mTc activity was showed in the ascending and the descending colon. 99mTc-human serum albumin scan also must be validated by more extended study and comparison with the quantitative study such as stool α1-antitrypsin measurement.

Keywords :Protein Losing Enteropathy, 99mTc-Human Serum Albumin Scan