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Transient exocrine pancreatic insufficiency as a possible complication of an enterovirus infection.

作者信息

Van Biervliet Stephanie, De Waele Kathleen, Van Winckel Myriam, Robberecht Eddy

机构信息

Department of Paediatric Gastroenterology and Nutrition, University Hospital Ghent, De Pintelaan 185, 9000, Gent, Belgium.

出版信息

Eur J Pediatr. 2003 Dec;162(12):872-4. doi: 10.1007/s00431-003-1315-7. Epub 2003 Sep 26.

DOI:10.1007/s00431-003-1315-7
PMID:14513373
Abstract

UNLABELLED

Exocrine pancreatic insufficiency is an exceptional problem in children, mostly associated with diseases like cystic fibrosis, Shwachman-Diamond syndrome or chronic pancreatitis, as is the case in idiopathic fibrosing pancreatitis. Many viral infections are known to cause acute pancreatitis. Most of them, however, are transient with no remaining damage. The differential diagnosis of persisting diarrhoea after gastrointestinal infection does not routinely include a search for exocrine pancreatic insufficiency.

CONCLUSION

This is the first description of a child with a transient but severe exocrine pancreatic insufficiency probably induced by an ordinary enterovirus infection

摘要

相似文献

1
Transient exocrine pancreatic insufficiency as a possible complication of an enterovirus infection.
Eur J Pediatr. 2003 Dec;162(12):872-4. doi: 10.1007/s00431-003-1315-7. Epub 2003 Sep 26.
2
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[4 patients with painless diarrhea and weight loss].4例无痛性腹泻伴体重减轻患者
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本文引用的文献

1
Low fecal elastase: potentially related to transient small bowel damage resulting from enteric pathogens.低粪便弹性蛋白酶:可能与肠道病原体导致的短暂性小肠损伤有关。
J Pediatr Gastroenterol Nutr. 2003 Mar;36(3):392-6. doi: 10.1097/00005176-200303000-00018.
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Pancreatitis: etiology, diagnosis, and management.胰腺炎:病因、诊断与治疗
Curr Opin Pediatr. 2001 Oct;13(5):447-51. doi: 10.1097/00008480-200110000-00011.
3
Fecal elastase-1 is decreased in villous atrophy regardless of the underlying disease.无论潜在病因如何,绒毛萎缩时粪便弹性蛋白酶-1水平都会降低。
Eur J Clin Invest. 2001 May;31(5):425-30. doi: 10.1046/j.1365-2362.2001.00822.x.
4
Short and long term outcome of severe acute pancreatitis.重症急性胰腺炎的短期和长期预后
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5
Detection and follow up of exocrine pancreatic insufficiency in cystic fibrosis: a review.囊性纤维化中外分泌性胰腺功能不全的检测与随访:综述
Eur J Pediatr. 2000 Aug;159(8):563-8. doi: 10.1007/s004310000507.
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13Carbon mixed triglyceride breath test and pancreatic enzyme supplementation in cystic fibrosis.13碳混合甘油三酯呼气试验与囊性纤维化患者的胰酶补充治疗
Arch Dis Child. 1997 Apr;76(4):349-51. doi: 10.1136/adc.76.4.349.
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Acute pancreatitis: the value of life.急性胰腺炎:生命的价值。
Br J Surg. 1993 Dec;80(12):1499-500. doi: 10.1002/bjs.1800801202.
8
Mixed triglyceride breath test: a noninvasive test of pancreatic lipase activity in the duodenum.混合甘油三酯呼气试验:一种十二指肠中胰脂肪酶活性的非侵入性检测方法。
Gastroenterology. 1989 Apr;96(4):1126-34. doi: 10.1016/0016-5085(89)91632-6.