La maladie de Waldmann (lymphangiectasies intestinales primitives) est responsable d’une entéropathie exsudative par fuite de la lymphe dans la lumière. Very rare familial forms of Waldmann’s disease have been reported [1,4]. Go to: .. Vignes S. Lymphangiectasies intestinales primitives (maladie de Waldmann) . Publication – Article. Lymphangiectasies intestinales primitives (maladie de Waldmann). La Revue de Médecine Interne, 39(7), ,

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Stemmer’s sign is an important element to confirm the diagnosis and differentiate lymphedema from edema: Type I intestinal lymphangiectasia treated successfully with slow-release octreotide. In the well-described histological and immunological studies, only B-cell lymphomas large cells, small cells, centroblastic, immunoblasts were encountered [ 61 ].

Intestinal lymphangiectasia long-term results with MCT diet. Clinical description Maaladie is generally diagnosed before 3 years of age but may be diagnosed in older patients.

Very rare familial cases of PIL have been reported. Lymphatic vessel disease I88—I89 As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 of that lawaccess art 34 of that law and rectify art 36 of that law your personal data. Chemotherapy achieved regression of the exsudative enteropathy in only two of those previous cases [ 6263 ]. Intestinal lymphangiectasia markedly waldmxnn with antiplasmin therapy. The main symptom is predominantly bilateral lower limb edema related to protein-losing enteropathy associated with hypoalbuminemia.

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Five syndromes are associated with intestinal lymphangiectasia: Open in a separate window. PIL patients were reported to have diffuse and multiple cutaneous warts in association with lymphoma [ 6566 ]. In the literature, other treatments have been proposed to treat PIL.


CT demonstration in a young malavie. Primary intestinal lymphangiectasia PIL is a rare intestinal disease characterized by dilated intestinal lacteals which cause lymph leakage into the small bowel lumen.

Biopsies of the small intestine were examined under the microscope and found various levels of dilatation of the lymph vessels. The “yellow nail” syndrome. Remission of malabsorption in congenital intestinal lymphangiectasia following chemotherapy for lymphoma.

Waldmann disease

InWaldmann et al. Endoscopy may be negative when intestinal lesions are segmental or localized. Surgical small-bowel resection is useful in the rare cases with segmental and localized intestinal lymphangiectasia. A propos de six cas. Corticosteroids were initiated, resulting in rapid improvement of renal function dr partial regression of the patient’s cutaneous nodules and lymph node disorder.

Waldmann diseasealso known as Waldmann’s disease and primary intestinal lymphangiectasiais a rare disease [1] characterized by enlargement of the lymph vessels supplying the lamina propria of the small intestine.

Widespread viral warts may be associated with a primary immune deficiency in PIL or secondary to lymphoma. Suivi de long cours des lymphangiectasies intestinales primitives de l’enfant. Outline Masquer le plan.

They can be used after or in combination with a low-fat dr associated with MCT supplementation. Edema may be moderate to severe with anasarca and includes pleural effusion, pericarditis or chylous ascites. Top of the page – Article Outline.

Orphanet: Maladie de Waldmann

The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties. Reversible protein-losing enteropathy with intestinal lymphangiectasia secondary to chronic constrictive pericarditis.


After a few weeks, this treatment may lead to reversal of clinical and biochemical signs albuminemia, immunoglobulin levels and lymphocyte counts [ 71 ]. Edema is the consequence of hypoprotidemia with decreased oncotic pressure. Ultrasound Indirect features may suggest PIL in children and adults. Access to the text HTML. Exsudative enteropathy is confirmed by elevated hour stool alpha-1 antitrypsin clearance.

PIL may be asymptomatic or mildly symptomatic in moderate forms of the disease or in patients who follow a low-fat diet.

In limb lymphedema, isotope-uptake seen on the lymphogram shows an absence of visible lymph nodes which indicates either peripheral lymphatic obliteration or inability of the vessels to transport lymph up the limb through incompetent lymphatic vessels [ 36 ].

But no clear evidence of depressed intestinal immunity was found in PIL patients compared to those with other primary immunodeficiencies and having gut infections, like giardiasis. Differential diagnosis includes constrictive pericarditis, intestinal lymphoma, Whipple’s disease, Crohn’s disease, intestinal tuberculosis, sarcoidosis or systemic sclerosis.

Lower limb edema is usually the main clinical manifestation but lymphedema may be associated. The differential diagnosis includes enteropathy-associated T-cell lymphoma, Whipple disease, Crohn disease, sarcoidosis, tuberculosis with extrapulmonary involvementsystemic sclerosis see these termsand constrictive pericarditis.