PEDIATRICS Vol. 34 No. 5 November 1964, pp. 636-648
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Plauth, W. H.
Right arrow Articles by Braunwald, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Plauth, W. H., Jr.
Right arrow Articles by Braunwald, E.

PROTEIN-LOSING ENTEROPATHY SECONDARY TO CONSTRICTIVE PERICARDITIS IN CHILDHOOD

William H. Plauth Jr. M.D.1, Thomas A. Waldmann M.D.1, R. Dean Wochner M.D.1, Nina S. Braunwald M.D.1, and Eugene Braunwald M.D.1

1 The Cardiology Branch and the Clinic of Surgery, National Heart Institute, and the Metabolism Service, National Cancer Institute

A 6-year-old girl with anasarca, bilateral pleural effusions, and ascites was found to have severe hypoproteinemia secondary to gastrointestinal protein loss. This protein-losing enteropathy was originally felt to be idiopathic in origin, but re-examination some months later led to the recognition of chronic constrictive pericarditis. Pericardiectomy resulted in a complete relief of symptoms with a return of plasma proteins to normal and disappearance of the enteropathy. The 9 previously reported patients with protein-losing enteropathy and constrictive pericarditis are discussed briefly and the preoperative and postoperative data in our patient, including cardiac catheterizations and studies of protein metabolism, are presented.

Submitted on April 26, 1964
Accepted on June 11, 1964