Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2022; 10(18): 6234-6240
Published online Jun 26, 2022. doi: 10.12998/wjcc.v10.i18.6234
Primary intestinal lymphangiectasia presenting as limb convulsions: A case report
Yun Cao, Xiao-Hong Feng, Hai-Xiang Ni
Yun Cao, Xiao-Hong Feng, Hai-Xiang Ni, Department of Endocrinology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), Hangzhou 310006, Zhejiang Province, China
Author contributions: Cao Y and Feng XH contributed to literature review and manuscript drafting; Cao Y and Ni HX contributed to patient management and data analysis; and all authors approved the final article and assured all the questions regarding the accuracy of the article.
Informed consent statement: The patient consented to his case being published anonymously.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Hong Feng, MD, Associate Professor, Department of Endocrinology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), No. 54 Youdian Road, Hangzhou 310006, Zhejiang Province, China. feng_xiaohong2021@163.com
Received: November 26, 2021
Peer-review started: November 26, 2021
First decision: January 24, 2022
Revised: March 15, 2022
Accepted: April 29, 2022
Article in press: April 29, 2022
Published online: June 26, 2022
Core Tip

Core Tip: In this case report, a 19-year-old Chinese male patient complained of recurrent limb convulsions for 1 year. Laboratory investigations revealed low levels of calcium and magnesium along with hypoproteinemia and high parathyroid hormone levels, but the patient had no limbs edema, which is rear in primary intestinal lymphangiectasia cases. Differential diagnosis is difficult in such case. Careful analysis and examination results finally enabled the patient to receive effective treatment after a definite diagnosis.