Chronic Diarrhea as a Debut Manifestation of Crohn’s Disease in Infant: Clinical Case

Background. Chronic diarrhea can be a symptom of a wide variety of diseases, either of which requires special therapy approaches. The diagnosis of rare causes of chronic diarrhea is especially difficulty as it may be associated with inflammatory bowel disease (IBD) with very early (under 1 year of a...

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Main Authors: Anna M. Konovalova, Dmitry V. Pechkurov, Alena A. Tyazheva
Format: Article
Language:English
Published: "Paediatrician" Publishers LLC 2023-02-01
Series:Вопросы современной педиатрии
Subjects:
Online Access:https://vsp.spr-journal.ru/jour/article/view/3146
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author Anna M. Konovalova
Dmitry V. Pechkurov
Alena A. Tyazheva
author_facet Anna M. Konovalova
Dmitry V. Pechkurov
Alena A. Tyazheva
author_sort Anna M. Konovalova
collection DOAJ
description Background. Chronic diarrhea can be a symptom of a wide variety of diseases, either of which requires special therapy approaches. The diagnosis of rare causes of chronic diarrhea is especially difficulty as it may be associated with inflammatory bowel disease (IBD) with very early (under 1 year of age) debut.Clinical case description. Boy E. had chronic diarrhea manifested on the first year of life. Ulcerative colitis was diagnosed at the age of 1.5 years, then the diagnosis was changed to Crohn’s disease at the age of 2.5 years. The results of 6-years-follow-up of the patient were presented, as well as analysis of diagnosis and treatment difficulties was carried out.Conclusion. The clinical case of Crohn’s disease with diarrhea as the leading clinical manifestation at the disease onset is described. Sequential diagnostic search allowed us to establish the diagnosis of IBD and to exclude other causes of chronic diarrhea that determined the correct therapeutic strategy.
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spelling doaj.art-53fda361de464973bea2b463c98874102023-09-03T13:02:34Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352023-02-01221687210.15690/vsp.v22i1.25182090Chronic Diarrhea as a Debut Manifestation of Crohn’s Disease in Infant: Clinical CaseAnna M. Konovalova0Dmitry V. Pechkurov1Alena A. Tyazheva2Самарский государственный медицинский университетСамарский государственный медицинский университетСамарский государственный медицинский университетBackground. Chronic diarrhea can be a symptom of a wide variety of diseases, either of which requires special therapy approaches. The diagnosis of rare causes of chronic diarrhea is especially difficulty as it may be associated with inflammatory bowel disease (IBD) with very early (under 1 year of age) debut.Clinical case description. Boy E. had chronic diarrhea manifested on the first year of life. Ulcerative colitis was diagnosed at the age of 1.5 years, then the diagnosis was changed to Crohn’s disease at the age of 2.5 years. The results of 6-years-follow-up of the patient were presented, as well as analysis of diagnosis and treatment difficulties was carried out.Conclusion. The clinical case of Crohn’s disease with diarrhea as the leading clinical manifestation at the disease onset is described. Sequential diagnostic search allowed us to establish the diagnosis of IBD and to exclude other causes of chronic diarrhea that determined the correct therapeutic strategy.https://vsp.spr-journal.ru/jour/article/view/3146хроническая диареяболезнь кронаанемияранний возрастклинический случай
spellingShingle Anna M. Konovalova
Dmitry V. Pechkurov
Alena A. Tyazheva
Chronic Diarrhea as a Debut Manifestation of Crohn’s Disease in Infant: Clinical Case
Вопросы современной педиатрии
хроническая диарея
болезнь крона
анемия
ранний возраст
клинический случай
title Chronic Diarrhea as a Debut Manifestation of Crohn’s Disease in Infant: Clinical Case
title_full Chronic Diarrhea as a Debut Manifestation of Crohn’s Disease in Infant: Clinical Case
title_fullStr Chronic Diarrhea as a Debut Manifestation of Crohn’s Disease in Infant: Clinical Case
title_full_unstemmed Chronic Diarrhea as a Debut Manifestation of Crohn’s Disease in Infant: Clinical Case
title_short Chronic Diarrhea as a Debut Manifestation of Crohn’s Disease in Infant: Clinical Case
title_sort chronic diarrhea as a debut manifestation of crohn s disease in infant clinical case
topic хроническая диарея
болезнь крона
анемия
ранний возраст
клинический случай
url https://vsp.spr-journal.ru/jour/article/view/3146
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AT dmitryvpechkurov chronicdiarrheaasadebutmanifestationofcrohnsdiseaseininfantclinicalcase
AT alenaatyazheva chronicdiarrheaasadebutmanifestationofcrohnsdiseaseininfantclinicalcase