乳糜瀉
乳糜瀉（粵拼：jyu5 mei4 se3，英文：coeliac disease）係遺傳性腸道疾病[4]。典型嘅症狀有慢性肚屙、肚脹、吸收不良、冇乜食慾，同埋細路仔會發育得好慢[1]。呢個病通常發生喺六個月大到兩歲之間[1][5][6][7]。
| 乳糜瀉 Coeliac disease | |
|---|---|
 | |
| 乳糜瀉患者嘅小腸絨毛切片 | |
| 讀音 | |
| 病徵 | 無症狀或非特異性症狀、肚脹、肚屙、屙屎唔出、吸收唔好、體重下降、皰疹性皮膚炎[1][2] |
| 併發症 | 缺鐵性貧血、骨質疏鬆症、不孕、癌症、神經系統疾病、第啲自體免疫性疾病 |
| 通常發病 | 乜嘢年紀都會 |
| 病程 | 終身 |
| 類型 | autoimmune disease of gastrointestinal tract[*], gluten-related disorder[*], 病 |
| 起因 | 對麩質嘅反應 |
| 診斷 | 家族病史、血液抗體檢測、腸道活檢、基因檢測、對移除麩質嘅反應 |
| 類似條件 | 炎症性腸病、腸道寄生蟲、腸激躁症、囊腫性纖維化[3] |
| 醫 | 無麩質飲食 |
| 分類同拎 | |
| 醫學專科 | 胃腸學、內科學 |
| ICD-9-CM | 579.0 |
| OMIM | 609754、612008、612005、612006、607202、611598、612007、612011、612009 |
| DiseasesDB | 2922 |
| MedlinePlus | 000233 |
| eMedicine | 932104、373864 |
| Patient UK | 乳糜瀉 Coeliac disease |
| Orphanet | 555 |
拎
編輯
- ↑ 1.0 1.1 1.2 Fasano A (April 2005). "Clinical presentation of celiac disease in the pediatric population". Gastroenterology (Review). 128 (4 Suppl 1): S68–73. doi:10.1053/j.gastro.2005.02.015. PMID 15825129.
- ↑ "Symptoms & Causes of Celiac Disease | NIDDK". National Institute of Diabetes and Digestive and Kidney Diseases. June 2016. 原先內容歸檔喺2017-04-24. 喺24 April 2017搵到.
- ↑ Ferri, Fred F. (2010). Ferri's differential diagnosis : a practical guide to the differential diagnosis of symptoms, signs, and clinical disorders (第2版). Philadelphia, PA: Elsevier/Mosby. p. Chapter C. ISBN 978-0323076999.
- ↑ "Celiac Disease". NIDDKD. June 2015. 原先內容歸檔喺2016-06-16. 喺17 March 2016搵到.
- ↑ Husby S, Koletzko S, Korponay-Szabó IR, Mearin ML, Phillips A, Shamir R, Troncone R, Giersiepen K, Branski D, Catassi C, Lelgeman M, Mäki M, Ribes-Koninckx C, Ventura A, Zimmer KP, ESPGHAN Working Group on Coeliac Disease Diagnosis; ESPGHAN Gastroenterology Committee; European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (January 2012). "European Society for Pediatric Gastroenterology, Hepatology, and Nutrition guidelines for the diagnosis of coeliac disease" (PDF). J Pediatr Gastroenterol Nutr (Practice Guideline). 54 (1): 136–60. doi:10.1097/MPG.0b013e31821a23d0. PMID 22197856. 原著 (PDF)喺2016-04-03歸檔. 喺2018-03-29搵到.
Since 1990, the understanding of the pathological processes of CD has increased enormously, leading to a change in the clinical paradigm of CD from a chronic, gluten-dependent enteropathy of childhood to a systemic disease with chronic immune features affecting different organ systems. (...) atypical symptoms may be considerably more common than classic symptoms
- ↑ Newnham, Evan D (2017). "Coeliac disease in the 21st century: Paradigm shifts in the modern age". Journal of Gastroenterology and Hepatology. 32: 82–85. doi:10.1111/jgh.13704. PMID 28244672.
Presentation of CD with malabsorptive symptoms or malnutrition is now the exception rather than the rule.
- ↑ Tonutti E, Bizzaro N (2014). "Diagnosis and classification of celiac disease and gluten sensitivity". Autoimmun Rev. 13 (4–5): 472–6. doi:10.1016/j.autrev.2014.01.043. PMID 24440147.
