患有肛门直肠畸形的儿童中的乳糜泻：考虑腹泻其他病因的重要性。
Coeliac disease in a child with anorectal malformation: The importance of considering other causes of diarrhea.
作者信息
Gopal Milan, Nour Shawqui, Hoskyns Wren
机构信息
Department of Paediatric Surgery, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK.
出版信息
J Indian Assoc Pediatr Surg. 2010 Jan;15(1):30-1. doi: 10.4103/0971-9261.69140.
Abstract
We present the case of an Indian child with a high anorectal malformation (ARM) who postoperatively had troublesome fecal incontinence. Based on a dietary history, weight loss, and diarrhea, a duodenal biopsy was performed that revealed coeliac disease. Since being on a gluten-free diet, her symptoms have improved dramatically. To the best of our knowledge this is the first report in the English literature of such an association between ARMs and coeliac disease. Dietary modification alone can dramatically improve symptoms in these children.
摘要
我们报告一例患有高位肛门直肠畸形（ARM）的印度儿童病例，该患儿术后出现严重的大便失禁问题。基于饮食史、体重减轻和腹泻情况，进行了十二指肠活检，结果显示患有乳糜泻。自从采用无麸质饮食后，她的症状有了显著改善。据我们所知，这是英文文献中关于ARM与乳糜泻之间这种关联的首例报告。仅通过饮食调整就能显著改善这些儿童的症状。
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