DAVID SAUL ROSENFELD, M.D.
To the editor: Mansbach and colleagues have recently reported (Ann Intern Med 89:64-66, 1978) a case of a 38-year-old man with lymph-node bacilliform bodies resembling those of Whipple's disease, yet without intestinal involvement. They write, "In all previously reported patients, the hallmark of the disease, diastase-resistant periodic acid Schiff-positive macrophages, have been found in the intestinal mucosa irrespective of the presence or absence of bowel symptomatology." However, shortly after the above paper was accepted for publication, Romanul, Radvany, and Rosales (1) published an apparently unique case report of Whipple's disease confined to the brain. The report described the case of
ROSENFELD DS. Whipple's Disease. Ann Intern Med. ;89:575. doi: 10.7326/0003-4819-89-4-575_1
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Published: Ann Intern Med. 1978;89(4):575.
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