Gastrointestinal manifestations of the XXXX : a review of 22 cases.

@entity1 @entity6122 @entity2826 @entity10189 @entity353 @entity5 @entity4259 @entity294 @entity6123 @entity2910 @entity344 @entity281 @entity1960 @entity19603 @entity791
@entity1 with @entity791 ( @entity791 ) frequently have @entity294 and @entity353 . We prospectively examined the upper and lower gastrointestinal tracts in 22 @entity791 @entity1 , although severe medical problems often precluded full evaluation. Ninety-six percent (21 of 22) lost weight, and 55% (12 of 22) had @entity294 . The mean (+/- SD) @entity353 was 34 +/- 19 lb. @entity6123 was found in 4 of 14 @entity1 , and @entity6122 tests were abnormal in 8 of 14 patients. Mean serum albumin was 3.3 +/- 0.8 g/dl. A significantly diminished plasma @entity4259 level, which can influence immune function, was noted in these @entity791 @entity1 . @entity344 were identified in 45% of @entity1 . Although @entity19603 were more common in the infected group, @entity353 and albumin were similar in those with and without demonstrated @entity281 . Flexible sigmoidoscopy showed that of 15 @entity1 , there were two with @entity2826 , 10 normals, and three with nonspecific @entity1960 . Infection was documented in all @entity1 with @entity1960 . Panendoscopy of the upper gastrointestinal tract was positive for @entity791 -related pathology in five of 10 @entity1 , including two with @entity2826 , one with @entity2910 , one with @entity2910 , and one with @entity10189 (biopsy positive for cryptosporidia); five @entity1 had a normal-appearing tract. Small bowel or colonic biopsies frequently showed nonspecific inflammatory changes, although pathogens were identified in six @entity1 (27% of all biopsies). We conclude that a wide variety of @entity344 , which includes @entity5 , and inflammatory changes, may occur in @entity791 @entity1 . Therefore, @entity791 @entity1 , particularly those with @entity294 or @entity353 , deserve an intensive evaluation for remediable lesions of their gastrointestinal tracts.
