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Congenital diarrheal disorders: an updated diagnostic approach
Authors:Terrin Gianluca  Tomaiuolo Rossella  Passariello Annalisa  Elce Ausilia  Amato Felice  Di Costanzo Margherita  Castaldo Giuseppe  Canani Roberto Berni
Affiliation:Department of Gynecology-Obstetrics and Perinatal Medicine, University of Rome "La Sapienza", Viale del Policlinico 1, Rome 00161, Italy; E-Mail: gianluca.terrin@uniroma1.it.
Abstract:Congenital diarrheal disorders (CDDs) are a group of inherited enteropathies with a typical onset early in the life. Infants with these disorders have frequently chronic diarrhea of sufficient severity to require parenteral nutrition. For most CDDs the disease-gene is known and molecular analysis may contribute to an unequivocal diagnosis. We review CDDs on the basis of the genetic defect, focusing on the significant contribution of molecular analysis in the complex, multistep diagnostic work-up.
Keywords:molecular analysis  osmotic diarrhea  secretory diarrhea  defects of digestion  absorption and transport of nutrients and electrolytes  defects of enterocyte differentiation and polarization  defects of enteroendocrine cells differentiation  defects of modulation of intestinal immune response
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