A. Bereket et al., INTESTINAL LYMPHANGIECTASIA IN A PATIENT WITH AUTOIMMUNE POLYGLANDULAR DISEASE TYPE-I AND STEATORRHEA, The Journal of clinical endocrinology and metabolism, 80(3), 1995, pp. 933-935
Steatorrhea is seen in 18-24% of patients with autoimmune polyglandula
r disease (APD) type 1. The etiology and pathophysiology of the steato
rrhea in this disease are unknown. We present a patient with APD type
1 and steatorrhea in whom biopsies revealed intestinal lymphangiectasi
a. This association has not been previously described. Intestinal lymp
hangiectasia may explain the steatorrhea in some patients with APD typ
e 1. As blind intestinal biopsies may miss areas of intestinal lymphan
giectasia, endoscopically directed intestinal biopsies should be inclu
ded in the evaluation of steatorrhea in APD type 1.