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Chronic Diarrhea in lnfancv - Analysis of 68 Cases with Particular Reference to Differential Diagnosis and Management-
영아기 만성 설사 -감별진단과 치료에 대한 중점적 분석

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Authors
Chang, Cheol Ho; Seo, Jeong Kee
Issue Date
1991-12
Publisher
Seoul National University College of Medicine
Citation
Seoul J Med 1991;32(4):239-251
Keywords
Chronic diarrheaInfancy
Abstract
Sixty-eight cases of chronic diarrhea in infancy over a 5-year period have
been analysed with particular reference to differential diagnosis and management. A
diagnosis was established in 63, the most common diagnoses being lactose intolerance
(30.9%) and milk allergy (26.5%). Other diagnoses included intestinal lymphangiectasia,
short bowel syndrome, Salmonella enteritis, inflammatory bowel disease, congenital
chloridorrhea, adrenogenital syndrome, and ganglioneuroma. A systematic diagnostic
approach for such specific disease entities was presented. Despite intensive investigation
a diagnosis could not be established in 5 (7.3%) infants. For differential diagnosis and
treatment, we observed the responses to fasting and change of formula. 54 (79.4%)
of the infants responded to more than 24 hours of fasting, 48 (88.9%) of whom showed
good responses to the changes of formula. The age of onset of diarrhea, body weight
on admission, and laboratory findings did not influence the outcome of infants with
chronic diarrhea, but only the interval period from onset to diagnosis did influence
it.
ISSN
0582-6802
Language
English
URI
http://hdl.handle.net/10371/6763
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 32 No.4 (1991)
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