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Enteropathies in children

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https://www.readbyqxmd.com/read/30102482/restless-leg-syndrome-in-children-with-celiac-disease
#1
Sedat Işıkay, Nurgül Işıkay, Hüseyin Per, Kürşat Bora Çarman, Halil Kocamaz
Işıkay S, Işıkay N, Per H, Çarman KB, Kocamaz H. Restless leg syndrome in children with celiac disease. Turk J Pediatr 2018; 60: 70-75. Celiac disease (CD) is an immune-mediated enteropathy triggered by ingestion of dietary gluten in genetically predisposed individuals. The aim of the study was to determine the prevalence of restless leg syndrome (RLS) in children with CD and to investigate the associated factors for RLS. Totally 494 children with the ages ranging between 11-18 years were included. Among those, 226 were under follow-up with CD and constituted the study group while other 268 children did not have any symptoms or signs associated with CD and established the control group...
2018: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/30056445/current-paediatric-coeliac-disease-screening-strategies-and-relevance-of-questionnaire-survey
#2
REVIEW
Lyudmila V Savvateeva, Svetlana I Erdes, Anton S Antishin, Andrey A Zamyatnin
Coeliac disease (CD) is an autoimmune enteropathy triggered by the ingestion of gluten-containing grains in genetically predisposed individuals. Identification of CD in clinical practice is often difficult due to the manifestation of non-specific symptoms and signs, so a relatively significant proportion of CD cases remain undiagnosed. Timely detection of the disease is necessary to provide an appropriate approach to control of the disease treatment, in order to avoid potential complications. This is even more important in the case of children and adolescents, to ensure their proper growth and development...
July 27, 2018: International Archives of Allergy and Immunology
https://www.readbyqxmd.com/read/30025542/identifying-the-etiology-and-pathophysiology-underlying-stunting-and-environmental-enteropathy-study-protocol-of-the-afribiota-project
#3
Pascale Vonaesch, Rindra Randremanana, Jean-Chrysostome Gody, Jean-Marc Collard, Tamara Giles-Vernick, Maria Doria, Inès Vigan-Womas, Pierre-Alain Rubbo, Aurélie Etienne, Emilson Jean Andriatahirintsoa, Nathalie Kapel, Eric Brown, Kelsey E Huus, Darragh Duffy, B Brett Finlay, Milena Hasan, Francis Allen Hunald, Annick Robinson, Alexandre Manirakiza, Laura Wegener-Parfrey, Muriel Vray, Philippe J Sansonetti
BACKGROUND: Globally one out of four children under 5 years is affected by linear growth delay (stunting). This syndrome has severe long-term sequelae including increased risk of illness and mortality and delayed psychomotor development. Stunting is a syndrome that is linked to poor nutrition and repeated infections. To date, the treatment of stunted children is challenging as the underlying etiology and pathophysiological mechanisms remain elusive. We hypothesize that pediatric environmental enteropathy (PEE), a chronic inflammation of the small intestine, plays a major role in the pathophysiology of stunting, failure of nutritional interventions and diminished response to oral vaccines, potentially via changes in the composition of the pro- and eukaryotic intestinal communities...
July 19, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/30002771/frequency-of-overweight-obesity-among-a-group-of-children-with-celiac-disease-in-iran
#4
Touran Shahraki, Mansour Shahraki, Ivor D Hill
Introduction: A small number of overweight and obese children with celiac disease (CD) has been reported. Aim: To estimate the prevalence of obesity, underweight and normal weight in a group of Iranian pediatric patients. Material and methods: In a retrospective study from 2007 to 2015, 225 children less than 18 years old with biopsy-proven CD were enrolled. Data collected included demographic characteristics, clinical presentation, antibody titers and severity of small-bowel mucosal damage...
2018: Przegla̜d Gastroenterologiczny
https://www.readbyqxmd.com/read/29988114/pathophysiology-of-environmental-enteric-dysfunction-and-its-impact-on-oral-vaccine-efficacy
#5
REVIEW
Chelsea Marie, Asad Ali, Kanta Chandwe, William A Petri, Paul Kelly
Environmental enteric dysfunction (EED) refers to a subclinical disorder of intestinal function common in tropical countries and in settings of poverty and economic disadvantage. The enteropathy that underlies this syndrome is characterized by mucosal inflammation and villus blunting mediated by T cell activation. Epithelial cell disruption and microbial translocation drive systemic inflammation. EED in young children is associated geographically with growth failure, malnutrition, and greatly impaired responses to oral vaccines, notably rotavirus and poliovirus vaccines...
July 9, 2018: Mucosal Immunology
https://www.readbyqxmd.com/read/29960810/clinical-intervention-using-bifidobacterium-strains-in-celiac-disease-children-reveals-novel-microbial-modulators-of-tnf-%C3%AE-and-short-chain-fatty-acids
#6
Maša Primec, Martina Klemenak, Diana Di Gioia, Irene Aloisio, Nicole Bozzi Cionci, Andrea Quagliariello, Mario Gorenjak, Dušanka Mičetić-Turk, Tomaž Langerholc
BACKGROUND & AIMS: Celiac disease (CD) is an immune-mediated systemic disease, caused by ingestion of gluten in genetically predisposed individuals. Gut microbiota dysbiosis might play a significant role in pathogenesis of chronic enteropathies and its modulation can be used as an intervention strategy in CD as well. In this study, we aimed to identify correlations between fecal microbiota, serum tumor necrosis factor alpha (TNF-α) and fecal short-chain fatty acids (SCFAs) in healthy children and children with CD after administration of probiotic Bifidobacterium breve BR03 and B632...
June 18, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29891218/characterisation-of-environmental-enteropathy-biomarkers-and-associated-risk-factors-in-children-in-the-context-of-a-wash-trial-in-timor-leste
#7
Susana Vaz Nery, Isaac Bennett, Naomi E Clarke, Audrie Lin, Ziaur Rahman, Mahbubur Rahman, Archie C A Clements
Environmental enteropathy (EE) is characterised by subclinical inflammation and hyperpermeability of the small intestine, hypothesised to be caused by recurrent ingestion of faecal bacteria. It has been suggested that EE may be a contributor to malnutrition and growth delays seen in children living in unsanitary conditions. We measured putative faecal EE markers myeloperoxidase (MPO) (ng/mL) and alpha-1-antitrypsin (AAT) (mg/g) in stool samples collected from 133 children aged 1-5 years in 16 communities enrolled in the WASH for WORMS randomised controlled trial in Timor-Leste...
July 2018: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/29749329/is-celiac-disease-misdiagnosed-in-children-with-functional-constipation
#8
Sezin Akman, Özlem Şahaloğlu, Ceyhun Dalkan, Nerin Nadir Bahçeciler, Çiğdem Arıkan
BACKGROUND/AIMS: Functional constipation is one of the common problems in childhood, and it comprises approximately 5% of the pediatric outpatient clinical applications. On the other hand, celiac disease (CD) is an immune enteropathy with the prevalence between 1/150 and 1/200. In addition to the classical symptoms of the disease such as diarrhea and weight loss, the incidence of atypical symptoms is increasing. This study aims to determine the prevalence of CD in patients with chronic constipation...
March 2018: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
https://www.readbyqxmd.com/read/29746341/screening-endoscopy-contributes-to-relevant-modifications-of-therapeutic-regimen-in-children-with-intestinal-failure
#9
Andreas Busch, Ekkehard Sturm
OBJECTIVE: The role of endoscopy in the diagnostic work-up of children with intestinal failure (IF) is not well defined. It is unclear whether endoscopies should be performed as a screening procedure or only upon manifestation of symptoms. The aim of this study is to evaluate, whether performing screening endoscopy contributes to clinical management in children with IF. METHODS: Comparative retrospective case-series study in children with IF (mean age 70,4 months ± 58,4 months) presenting for diagnostic work-up in a single intestinal rehabilitation center...
May 9, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29709462/faecal-high-mobility-group-box-1-in-children-with-celiac-disease-a-pilot-study
#10
Francesca Palone, Roberta Vitali, Chiara Maria Trovato, Monica Montuori, Anna Negroni, Saverio Mallardo, Laura Stronati
BACKGROUND: Celiac disease (CD) is a gluten-related immunological disorder resulting in inflammatory enteropathy. AIMS: We assessed a stool marker of intestinal inflammation, the HMGB1 protein, in children with CD on a gluten free diet (GFD) at baseline and at follow up (FU). METHODS: Thirty-nine children were investigated at diagnosis and at FU. Traditional serum markers of CD (anti-transglutaminase and anti-endomysial antibodies) and faecal HMGB1 (by enzyme-linked immunosorbent assay and immunoblotting) were tested...
April 11, 2018: Digestive and Liver Disease
https://www.readbyqxmd.com/read/29661930/the-critical-role-of-zinc-in-a-new-murine-model-of-enterotoxigenic-e-coli-etec-diarrhea
#11
D T Bolick, P H Q S Medeiros, S E Ledwaba, A A M Lima, J P Nataro, E M Barry, R L Guerrant
Enterotoxigenic E. coli are major causes of traveler's diarrhea as well as endemic diarrhea and stunting in children in developing areas. However a small mammal model has been badly needed to better understand and assess mechanisms, vaccines and interventions. We report a murine model of ETEC diarrhea, weight loss and enteropathy, and investigate the role of zinc on the outcomes. LT+ST producing enterotoxigenic E. coli (ETEC) given to weaned C57BL/6 mice after antibiotic disruption of normal microbiota cause growth impairment, watery diarrhea, heavy stool shedding and mild to moderate intestinal inflammation, the latter worse with zinc deficiency...
April 16, 2018: Infection and Immunity
https://www.readbyqxmd.com/read/29622825/gastrointestinal-food-allergy-in-ghanaian-children-a-case-series
#12
Taiba J Afaa, Adwoa Ka Afrane, Victor Etwire
Background: Food allergy is an adverse health effect arising from a specific immune response that occurs reproducibly on exposure to a given food. Food allergies are classified into three types: Ig(immunoglobulin)E mediated, mixed IgE and cell mediated and cell-mediated non IgE mediated. Gastrointestinal (GIT) food allergy has classically encompassed a number of different clinical entities: food protein-induced enterocolitis syndrome (FPIES), food protein-induced proctocolitis (FPIP), food protein-induced enteropathy and eosinophilic gastrointestinal disorders (EGID)...
September 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/29620600/environmental-enteropathy-micronutrient-adequacy-and-length-velocity-in-nepalese-children-the-mal-ed-birth-cohort-study
#13
Marianne S Morseth, Sigrun Henjum, Catherine Schwinger, Tor A Strand, Sanjaya K Shrestha, Binob Shrestha, Ram K Chandyo, Manjeswori Ulak, Liv Elin Torheim
OBJECTIVES: Environmental enteropathy (EE) is likely associated with growth retardation in children, but the association between EE and length velocity z score (LVZ) has not been investigated. The objective of the study was to assess associations between fecal markers for intestinal inflammation and LVZ and whether these associations were influenced by micronutrient adequacy among 9 to 24 months old children in Bhaktapur, Nepal. METHODS: Data were divided into 5 time slots (9-12, 12-15, 15-18, 18-21, and 21-24 months)...
August 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29611507/environmental-enteropathy-in-undernourished-pakistani-children-clinical-and-histomorphometric-analyses
#14
Sana Syed, Sunil Yeruva, Jeremy Herrmann, Anne Sailer, Kamran Sadiq, Najeeha Iqbal, Furqan Kabir, Kumail Ahmed, Shahida Qureshi, Sean R Moore, Jerrold Turner, S Asad Ali
Despite nutrition interventions, stunting thought to be secondary to underlying environmental enteropathy (EE) remains pervasive among infants residing in resource-poor countries and remains poorly characterized. From a birth cohort of 380 children, 65 malnourished infants received 12 weeks of nutritional supplementation with ready-to-use therapeutic food (RUTF). Eleven children with insufficient response to RUTF underwent upper endoscopy with duodenal biopsies, which were compared with U.S., age-matched specimens for healthy, celiac disease, non-celiac villous atrophy, non-celiac intraepithelial lymphocytosis, and graft-versus-host disease patients...
June 2018: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29570176/a-rare-compl%C3%A4-cat%C3%A4-on-of-g%C3%A4-ard%C3%A4-as%C3%A4-s-in-ch%C3%A4-ldren-prote%C3%A4-n-los%C3%A4-ng-enteropathy
#15
Bilge Sahin Akkelle, Engin Tutar, Ozlem K Sengul, Cigdem A Celikel, Deniz Ertem
Protein-losing enteropathy (PLE) may develop as a complication of a wide spectrum of diseases. Three cases of giardiasis that presented with acute onset of hypoalbuminemia were documented, and resolution of protein loss after treatment was also confirmed. Thus, chronic enteric infections should be considered as an etiology of severe intestinal protein loss, particularly in children.
March 19, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29565146/stunting-wasting-and-mid-upper-arm-circumference-status-among-children-admitted-to-nemazee-teaching-hospital
#16
Seyed Mohsen Dehghani, Hazhir Javaherizadeh, Masoomeh Heidary, Naser Honar, Maryam Ataollahi, Homa Ilkanipour, Hossein Moravej
INTRODUCTION AND AIM: The aim of this study was to evaluate nutritional status in children without prior hospital admission or evidence of chronic disease. SUBJECTS AND METHODS: The current study is a cross-sectional and observational study which was conducted for assessing the nutritional status of children. In this study, consecutive sampling was used, with a sample size about 400 children aged 6 months to 18 years at first hospital admission. All subjects were hospitalized consecutively in the Pediatric Emergency Department of the Nemazee Teaching Hospital of Shiraz University of Medical Sciences (Shiraz, Islamic Republic of Iran)...
January 10, 2018: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/29561985/review-of-celiac-disease-presentation-in-a-pediatric-tertiary-centre
#17
REVIEW
Gracinda Nogueira Oliveira, Rajiv Mohan, Andrew Fagbemi
BACKGROUND: Celiac disease is an immune-mediated disorder with a multiform presentation and therefore a challenging diagnosis. OBJECTIVE: Our purpose is to identify the epidemiological, clinical, laboratory and histologic characteristics of children with celiac disease at diagnosis and on follow-up. METHODS: Children with previously established or newly diagnosed celiac disease, admitted in a tertiary centre in a two-year period (2014-2016) were recruited...
January 2018: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/29561984/prevalence-of-celiac-disease-predisposing-genotypes-including-hla-dq2-2-variant-in-brazilian-children
#18
Nicole Selleski, Lucas Malta Almeida, Fernanda Coutinho de Almeida, Claudia Beatriz Pratesi, Yanna Karla de Medeiros Nóbrega, Lenora Gandolfi
BACKGROUND: Celiac disease is an autoimmune enteropathy triggered by the ingestion of gluten in genetically susceptible individuals. Almost all celiac patients carry immune recognition genes coding for HLA-DQ2.5 and DQ8 heterodimers. Over the last few years, great importance has been given to HLA-DQ2.2 as probable predisposing variant, although controversies still exist regarding its relevance. OBJECTIVE: The aim of our study was to determine the possible existence of an association between HLA-DQ2...
January 2018: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/29561983/association-of-potential-celiac-disease-and-refractory-iron-deficiency-anemia-in-children-and-adolescents
#19
Mahdi Shahriari, Naser Honar, Ali Yousefi, Hazhir Javaherizadeh
BACKGROUND: Celiac disease is an enteropathy caused by dietary gluten. The combination of serologic, genetic and histologic data has led to description of other categories of this disease. OBJECTIVE: There are a number of patients with iron deficiency anemia (IDA) that do not respond to iron treatment and may be repeated for many times, Therefore, we aimed to investigate celiac disease in this group. METHODS: In this cross sectional transverse prospective study from August 2011 to February 2013, in a Pediatric care clinic affiliated to Shiraz University of Medical Sciences, 184 children including 92 IDA patients who responded to treatment using iron supplement, 45 non-responding iron deficient patients, and 47 healthy individuals, with the maximum age of 18 years, with written consent from their parents, participated in serologic screening (with Anti-TTG antibody and anti-Endomysial antibody) for celiac disease...
January 2018: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/29511696/protein-losing-enteropathy-in-the-setting-of-severe-iron-deficiency-anemia
#20
Jessica Lacy Yasuda, Paul A Rufo
A 20-month-old boy presented with a 2-week history of pallor and progressive abdominal distention. Nutritional history revealed long-standing excessive cow milk intake. He was subsequently found to be profoundly iron deficient and hypoproteinemic, with an elevated fecal α-1-antitrypsin level and occult blood positive stool, consistent with protein-losing enteropathy. He was treated with cow milk restriction and oral iron supplements, which resulted in resolution of his edema and laboratory anomalies. While small numbers of previous case reports have described the potential association between excessive cow milk intake and severe iron deficiency and protein-losing enteropathy, this constellation of clinical symptoms is infrequently recognized in clinical practice...
January 2018: Journal of Investigative Medicine High Impact Case Reports
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