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Case Reports in Gastrointestinal Medicine
Volume 2016, Article ID 6831854, 6 pages
http://dx.doi.org/10.1155/2016/6831854
Case Report

Protein Loosing Enteropathy Secondary to Strongyloidiasis: Case Report and Review of the Literature

1Department of Internal Medicine, Gastroenterology Division, Faculty of Medical Sciences, Lebanese University, Hadath Campus, P.O. Box 3, Hadath, Beirut 2903 1308, Lebanon
2Department of General Surgery, Faculty of Medical Sciences, Lebanese University, Hadath Campus, P.O. Box 3, Hadath, Beirut 2903 1308, Lebanon

Received 16 November 2015; Accepted 9 December 2015

Academic Editor: Tetsuo Hirata

Copyright © 2016 Weam El Hajj et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Strongyloidiasis is a helminthic disease which affects millions around the world resulting in a significant burden in certain high risk groups. It is rarely reported in the Lebanese population probably due to the low index of suspicion in common practice. We are reporting a case of strongyloidiasis that was found in an elderly patient presenting initially with dyspnea followed by skin rash, protein loosing enteropathy, diarrhea, and abdominal pain while on corticosteroid therapy. The diagnosis was suspected based on clinical presentation in addition to peripheral eosinophilia. We will also describe the upper and lower endoscopic aspects of the disease, as well as histologic findings on duodenal and colonic biopsies.