The Radiology Corner |
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Authors: | RICHARD H. MARSHAK,M.D.,F.A.C.G., CHARLES HAZZI,M.D.,F.A.C.G.,&dagger ARTHUR E. LINDNER,M.D.,F.A.C.G.,&Dagger DANIEL MAKLANSKY,M.D.,F.A.C.G. |
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Affiliation: | New York, N. Y. |
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Abstract: | Recent advances in immunology have permitted recognition of a group of patients who have gastrointestinal manifestations as part of an immunoglobulin deficiency syndrome. Such immunoglobulin deficiency may be primary or may be secondary to a variety of diseases. We have classified and described the small bowel roentgen features associated with the various immunoglobulin deficiency syndromes as follows: 1. the sprue pattern, as seen in hypogammaglobulinemic sprue and in Ig-A deficient sprue; 2. multiple nodular defects; 3. inflammatory changes secondary to giardiasis, associated with immune deficiency diseases; 4. thickening of the small intestinal folds, as seen in the plasma cell dyscrasias, lymphoma, intestinal lymphangiectasia and amyloidosis. |
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