Saudi Medical Journal is an open access, peer-reviewed, monthly publication.
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A 12-year-old male presented with puffy eyes, scrotal swelling and recurrent diarrhea since two months. O/E- bilateral lower limb pitting edema and multiple, mobile abdominal masses. Urine was negative for protein, stool alpha1 antitrypsin was positive, abdominal ultrasound showed thickened bowel wall "halo sign" endoscopy showed whitish dots covering duodenal mucosa and histopathology showed dilated duodenal lymphatics. The patient improved on a low fat diet.
What is the most probable diagnosis of the case?
A. Nephrotic syndrome
B. Crohns' disease
C. Primary intestinal lymphangiectasia
D. Hypobetalipoproteinemia | View the Article