0
Chest Infections: Student/Resident Case Report Poster - Chest Infections II |

Is It Whipple Disease or Sarcoidosis? A Diagnostic Dilemma

Kegan Jessamy, MBBS; Ruby Appiah, MD; Obiajulu Anozie, MD; Fidelis Ojevwe, MD; Ezinnaya Ubagharaji, MD; Steve Antoine, MD
Author and Funding Information

SUNY Upstate Medical University, Liverpool, NY


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):191A. doi:10.1016/j.chest.2016.08.200
Text Size: A A A
Published online

Extract

SESSION TITLE: Student/Resident Case Report Poster - Chest Infections II

SESSION TYPE: Student/Resident Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: Whipple disease (WD) is a rare multisystemic illness caused by the gram positive rod Tropheryma whipplei. Its prevalence is difficult to estimate but approximately one thousand cases have been reported with a frequency of 0.1% in postmortem studies. 15% of patients with WD present with wide variability of symptoms making it a diagnostic challenge. Pulmonary involvement has an estimated prevalence of 30% to 40% with mediastinal adenopathy being reported in 12% of cases. The reactive macrophages which occur in nonspecific lesions are sometimes Periodic-acid Schiff (PAS) negative and do not contain T. whipplei and this presents a diagnostic challenge.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543