Presentation
Syndromic diarrhea/trichohepatoenteric syndrome (SD/THE), a rare disorder caused by alteration of a complex involved in RNA degradation, has been reported to present with some degree of colitis and in some cases an IBD-like presentation. [ncbi.nlm.nih.gov]
All seven patients were homozygous for this mutation and presented the typical clinical features of SD/THE, but with a milder presentation than usual. All seven patients were alive at the last follow‐up. [onlinelibrary.wiley.com]
Clinical description The patients present with diarrhea starting within the first 6 months of life (≤ 1 month in most cases). [doi.org]
Face, Head & Neck
- Prominent Cheeks
His physical examination demonstrated the following: Body weight, 6,500 g (<3rd centile); height, 71 cm (<3rd centile); poorly pigmented wooly hair; facial dysmorphism, including squared forehead, prominent cheeks, a broad nasal root and hypertelorism [spandidos-publications.com]
Workup
Early diagnosis would save patients from unnecessary workups. 1. [hindawi.com]
The immunological workup included analyses of lymphocyte populations with T- and B-cell-specific antibodies, lymphocyte markers, blastogenesis, and immunoglobulin levels. [saudijgastro.com]
By contrast, lipid-containing macrophages are present in the lamina propria in several storage disorders in which digestive symptoms can occasionally be significant and in which an intestinal biopsy is obtained in the course of a workup for failure to [clinicalgate.com]
Treatment
All the therapeutic classes of IBD treatment (mesalazine, steroids, immunomodulators, and biological therapy) were used in the 6 cases. In 2 patients, treatment had no effect. [ncbi.nlm.nih.gov]
Reference is easy thanks to a unique 3-part structure covering general aspects of treatment; reviews of every agent; and details of treatments of particular infections. [books.google.de]
Treatment - Tricho-hepato-enteric syndrome No specific treatment or cure exists. Affected children usually need total parenteral nutrition through a central venous catheter. Further worsening of liver damage should however be avoided if possible. [checkorphan.org]
Prognosis
Prognosis - Tricho-hepato-enteric syndrome Prognosis is poor; many patients die before the age of 5 (mainly from infections or cirrhosis), although most patients nowadays survive with intravenous feeding (parenteral nutrition). [checkorphan.org]
Prognosis Prognosis is poor with a mortality rate of up to 50%. The main complications are severe liver disease and infections. [orpha.net]
The prognosis depends on the management and is largely related to the occurrence of parenteral nutrition complications or infections. Even with optimal management, most of the children seem to experience failure to thrive and final short stature. [ncbi.nlm.nih.gov]
Etiology
Moreover we are yet far from developing a way to control the etiology in many cases. Trichoenterohepatic syndrome was first described by Stankler et al. in 1982 [2]. [hindawi.com]
Etiology Autosomal recessive mutations in SKIV2L (40% of cases) and TTC37 (60% of cases) lead to SD/THE. These genes encode proteins that form the Ski complex, a group of proteins responsible for the 3'-5' degradation of aberrant mRNA. [orpha.net]
In all patients, the diarrhea did not improve with fasting, and investigations including blood, urine, and stool tests did not reveal any specific etiology. Gastrointestinal biopsies were obtained from six patients. [saudijgastro.com]
View Article PubMed Google Scholar Guarino A, Spagnuolo MI, Russo S, Albano F, Guandalini S, Capano G, Cucchiara S, Vairano P, Liguori R, Casola A: Etiology and risk factors of severe and protracted diarrhea. [doi.org]
Epidemiology
Monography in Spanish | LILACS, MINSAPERU | ID: biblio-1181825 Responsible library: PE18.1 Localization: [{"text": "PE18.1", "_a": "MS/OGE 0190"}] Full text: Available Index: LILACS (Americas) Main subject: Vipoma / Diarrhea, Infantile / Epidemiological [pesquisa.bvsalud.org]
To date, no epidemiological data are available. The estimated prevalence is approximately 1/300,000-400,000 live births in Western Europe. Ethnic origin does not appear to be associated with SD. [ncbi.nlm.nih.gov]
Summary Epidemiology Prevalence is Clinical description Severe, persistent and intractable diarrhea most often starts within the first month after birth (at latest 6 months) and is accompanied by severe malabsorption resulting in early and relentless [orpha.net]
His career has focused on spatial and temporal aspects of infectious disease epidemiology to support the more rational implementation of disease control and intervention strategies. [simonhay.well.ox.ac.uk]
To date, no epidemiological data are available. However, the prevalence can be estimated at around 1/300,000–400,000 live births in Western Europe. [doi.org]
Pathophysiology
[…] majority of children with liver disease or with liver transplantation today survive well into adulthood.In this book, world experts in the now established subspecialty of pediatric hepatology provide a comprehensive summary of the latest advances in pathophysiology [books.google.com]
Practical Management Of Travellers Diarrhea Rethinking Prevention Travelers Diarrhea In Thailand A Quantitative Analysis Using Vien Sot Ret Ky Sinh Trung Con Trung Quy Nhon Keratoderma Blennorrhagica As A Result Of Reactive Arthritis Amebiasis Background Pathophysiology [solherbsrecipe.blogspot.com]
Prevention
Prevention - Tricho-hepato-enteric syndrome Not supplied. [checkorphan.org]
Can diarrhea be prevented? Two types of diarrhea can be prevented - rotavirus diarrhea and traveler's diarrhea. There are vaccines for rotavirus. They are given to babies in two or three doses. [medlineplus.gov]
Important information Legal Disclaimer Statements regarding dietary supplements have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease or health condition. [amazon.com]
Case status was not associated with whether or how patients received prevention messages. [ajph.aphapublications.org]
Presenting With Acute Dysentery A Systematic Review Openstax Microbiology 24 3 Bacterial Infections Of The Bacillary Dysentery As A Causative Factor Of Irritable Bowel Mọi Thứ Bạn Muốn Biết Về Tieu Chảy Của Người Du Lịch Cac Lời Diagnosis Treatment And Prevention [solherbsrecipe.blogspot.com]