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Whipple's disease and Tropheryma whipplei

Whipple's disease and Tropheryma whipplei

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Risk factors?<br />

Certain studies underlined the possible existence of<br />

specific factors to develop Whipple’s <strong>disease</strong>. Indeed, men of<br />

50 years olds are the more frequently involved. The <strong>disease</strong><br />

seems also to be more frequent among farmers.<br />

Different immunological abnormalities have been<br />

reported during Whipple’s <strong>disease</strong> in treated patients but the<br />

data have been contradictory.<br />

Recently, a diminution of production of Interleukine-12<br />

<strong>and</strong> IFN-γ by periphereal monocytes has been shown for<br />

patients with Whipple’s <strong>disease</strong> in comparison to control people,<br />

not only in acute phase but also in remission. It is necessary<br />

now to confirm these data.<br />

References :<br />

-Defects of monocyte interleukin-12 production <strong>and</strong> humoral<br />

immunity in Whipple’s <strong>disease</strong>. Gastroenterology 1997 : 113 :<br />

442-448.<br />

-Whipple’s <strong>disease</strong>. Marth T, <strong>and</strong> D Raoult. Lancet 2003: 18,<br />

239-246.

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