Menetrier's Disease.
Hypertrophic protein loosing enteropathy.
Involves all the parts apart from antrum and pylorus.
Thick mucosa
Giant rugal folds
Deep Crypts
Foveolar Hypertrophy
All cells are replaced by mucous cells
Stomach is loosing only protein
Overexpression of TGF alpha.
Adults -H.pylori infection
Children- CMV infection.
Total gastrectomy and protein replacement is the treatment.
Cetuximab used but not FDA approved.
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