Case report: reversal of decreased bone mass by antibiotic treatment in a patient with Whipple's disease.

Abstract

Whipple's disease is a rare systemic illness, with the main clinical feature being severe malabsorption syndrome. Bone involvement in the disease has rarely been described in previous articles. The authors report a case in which an extensive skeletal evaluation was carried out. Even though osteomalacia is generally considered the most typical metabolic bone disease of malabsorption syndromes, bone biopsy demonstrated that osteoporosis was the prominent histologic feature in this patient. On the basis of serial bone mineral density measurements, antibiotic treatment was able to reverse the initial reduced bone mass.

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@article{Carnevale1996CaseRR, title={Case report: reversal of decreased bone mass by antibiotic treatment in a patient with Whipple's disease.}, author={Vincenzo Carnevale and Salvatore Minisola and Elisabetta Romagnoli and Renato Del Rosso and Adriana Marcheggiano and Carlo Iannoni and Gian Franco Mazzuoli}, journal={The American journal of the medical sciences}, year={1996}, volume={311 3}, pages={145-7} }