[Hypertrophic gastritis in an infant with eczema and intolerance to cow's milk proteins (author's transl)]. / Gastrite à gros plis chez un nourrisson eczémateux avec intolérance aux protéines du lait de vache.

A 5-month-old infant presented with vomiting and severe hypoproteinemia from exsudation of proteins into the digestive tract, confirmed by isotopic tests. The association of hypertrophic edematous gastritis, interstitial jejunitis, and severe blood eosinophilia suggested the diagnosis of an exsudative eosinophil-type gastro-enteropathy. An allergy to cow's milk proteins was suspected because of the onset of the disorders at the time of weaning and the appearance of the eczema during the same period. Clinical, biological, and radiological recovery occurred after an exclusion diet and corticotherapy, and this persisted for 8 months, but the eczema remained. The authors describe a similar case (12) in an infant of 21 months with vomiting edema, and hypoproteinemia due to exsudation of proteins into the digestive tract. Radiological examination revealed the presence of hypertrophic gastritis. A relationship with Mentrier's disease had been suggested but not confirmed because of the rapid favourable outcome after a simple low protein diet.

[The child's gastroduodenal ulcer (author's transl)]. / Les ulcères gastro-duodénaux de l'enfant.

The child's gastroduodenal ulcer is not uncommon. Its symptomatology is notably different from the adult's and gives it a rather original aspect. The pain is often atypical, almost permanent and its rythm is not necessarily related to the meals. The psychological context and the family background are almost always disclosed. The digestive hemorrhage is easily revealing. Radiological traps are to be known. The treatment is virtually always medical. Cimetidine has been used only in complications, in which it has appeared very useful. Surgery is not called for but in case of perforation or hemorrhage; then it is essentially preserving.