Abstract
This is a case report of lymphadenitis tuberculose associated with intestinal lymphangiectasia. The patient is a 33-year-old female who was admitted to the 2nd Department of Internal Medicine, Osaka Medical College because of intermittent general fatigue and edema in the lower extrimities for 3 years. Past history revealed lymphadenitis tuberculosa colli and hepatitis at the ages of 12 and 29, respectively. Laboratory findings on admission revealed as follows; RBC 3.54M/mm3, Hb. 9.8g/dl, WBC 2500/mm3, T. P. 5.0g/dl, Alb. 53.9%, 131I-PVP test 5.4%. Plain film of the abdomen showed diffuse positive shadows along lumbar paravertebral area suggesting calcified lymph nodes due to previous tuberculosis. Hypotonic duodenography showed thickening of valvulae conniventes associated with excessive secretions. Numerous, whitish spots were found by small intestinal fiberscopic examination. Photomicrograph of peroral duodenal biopsy specimen showed marked dilated lacteals in the slightly clubbed villus, which was compatible with histologic findings seen in intestinal lymphangiectasia.
