[Autoimmune enteropathy with onset in early infancy: clinico-morphologic and immunologic manifestations].
This paper describes a severely affected male infant with serious protracted diarrhoea caused by a rare autoimmune enteropathy. The disease began at 6 weeks of age of the child and it was associated with small bowel villous atrophy and the presence of circulating antienterocyte antibodies. The child was treated with steroids and with parenteral and special enteral nutrition. The patient showed clinical improvement as documented by decreased stool output and possibility to terminate the parenteral nutrition. The small biopsy samples showed a return to normal. Antienterocyte antibodies were negative after the treatment. The patient has been followed up for at least 18 months and was in a clinical remission. We recommend that autoantibodies tests should be performed in all infants with unexplained protracted diarrhoea. The use of potent immunosuppressive drugs and the increasing experience with parenteral and enteral nutrition can improve the perspective of these previously fatal disorders.
Sýkora
J
J
Dĕtská klinika FN a LF UK, Plzen. sykorajo@fnplzen.cz
Varvarovská
J
J
Stozický
F
F
Kobr
J
J
Pizingerová
K
K
Schejbalová
E
E
Tláskalová
H
H
Tucková
L
L
Sedivá
A
A
Janatková
I
I
Gutová
V
V
D001323:Autoantibodies / Q000032:analysis; D001327:Autoimmune Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D003968:Diarrhea, Infantile / Q000209:etiology; D006801:Humans; D007136:Immunoglobulins / Q000032:analysis; D007223:Infant; D007410:Intestinal Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D007421:Intestine, Small / Q000473:pathology; D008297:Male
D001323:Autoantibodies; D007136:Immunoglobulins