Histopathological and electron microscopic studies of lymphangiectasia of the small intestine in Behçet's disease

The gastrointestinal involvement and immunological findings in 16 patients with Behçet's disease are described. Four of 15 biopsy specimens of jejunal mucosa showed marked lymphangiectasia in the lamina propria similar to the appearance which was thought to be a characteristic finding in protein-losing enteropathy. None of the patients had hypoproteinaemia. Increases in serum immunoglobulin IgA were proved in six of 15 cases; in IgM, five of 15; and in IgG, one of 15. Electron microscopic studies showed that there were thousands of precipitated lymph protein bodies in the extracellular spaces of the lamina propria. Ulcers and healed ulcers of the large intestine were studied by light microscopy.

Congenital pulmonary lymphangiectasis. Report of 11 examples with special reference to cardiovascular findings

The features of 11 cases of congenital pulmonary lymphangiectasis dying during the neonatal period are presented. Seven were associated with total anomalous pulmonary venous drainage with constriction of the common pulmonary vein at its junction with the general venous system. The anatomical features are compared with 14 infants with total anomalous pulmonary venous drainage without pulmonary lymphangiectasis. Evidence from this series and from the published reports suggests that at least some examples of congenital pulmonary lymphangiectasis result from obstruction to the pulmonary venous return by anomalous pulmonary venous drainage or obstructive left heart anomalies. It is probable that congenital pulmonary lymphangiectasis will remain a bar to the successful surgical treatment in the newborn period of many patients with total anomalous pulmonary venous drainage.

Lymphangiectasia haemorrhagica conjunctivae

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Association of nephrotic syndrome with intestinal lymphangiectasia

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