2014
DOI: 10.4081/pr.2014.5596
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A Case of Protracted Diarrhea in a Newborn: A Diagnostic Challenge

Abstract: Congenital diarrhea comprises a broad range of pathologies and often requires a thorough workup and immediate treatment. Although rare, microvillous inclusion disease (MVID) should be included in differential diagnosis of this presentation in the neonate. We report the case of a 36-week newborn who developed signs of severe dehydration and lethargy, requiring fluid resuscitation and total parenteral nutrition. MVID was diagnosed by recognition of profuse secretory diarrhea after an exhaustive etiological inves… Show more

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Cited by 2 publications
(2 citation statements)
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“…Beck et al [ 30 ] and Raafat et al [ 33 ] found no effect of octreotide on stool volume in two patients with MVID per study. Three other studies mentioned octreotide been tried with one patient with MVID per study and reported no beneficial effects [ 41 , 42 , 43 ]. Unfortunately, in these latter studies the study protocol and outcome measures were not specified.…”
Section: Pharmacological Interventions In Mvidmentioning
confidence: 99%
“…Beck et al [ 30 ] and Raafat et al [ 33 ] found no effect of octreotide on stool volume in two patients with MVID per study. Three other studies mentioned octreotide been tried with one patient with MVID per study and reported no beneficial effects [ 41 , 42 , 43 ]. Unfortunately, in these latter studies the study protocol and outcome measures were not specified.…”
Section: Pharmacological Interventions In Mvidmentioning
confidence: 99%
“…When the degradation machinery is exhausted over time, inclusions start to accumulate and are therefore predominantly found in mature IECs at the tips of the villi. Because microvillus inclusions are not reliably present upon pathological examination of IECs from MVID patients ( Mendes et al, 2014 ), additional genetic testing, such as of MYO5B , STX3 and STXBP2 , should be performed to confirm a MVID diagnosis. When these genes are not affected, a panel of genes involved in other CDDs ( Canani et al, 2015 ; Overeem et al, 2016 ) or genome-wide sequencing should be considered.…”
Section: Disrupted Intestinal Epithelial Cell Polarity In Mvidmentioning
confidence: 99%