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- Title
Diarrhoea in a 2-year-old boy - thinking beyond the gut.
- Authors
Romanyshyn, Yaryna; Voznytsa, Yarema; Romanyshyn, Bohdan; Lischuk-Yakymovych, Khrystyna
- Abstract
We report a male child with an unusual, very rare cause of chronic diarrhoea - WDHA (watery diarrhoea, hypokalaemia, achlorhydria) syndrome. A 2-year-old boy presented with long-term diarrhoea, failure to thrive and a presumed diagnosis of coeliac disease. The failure of a gluten-free diet, permanent hypokalaemia and the progressive worsening of the patient’s condition led to the finding of an adrenal tumour (mature ganglioneuroma) with elevation of vasoactive intestinal polypeptide (VIP) - criteria for the diagnosis of WDHA syndrome. Complete symptoms resolution occurred after tumour excision.
- Subjects
DIARRHEA in children; CELIAC disease diagnosis; GLUTEN-free diet; HYPOKALEMIA; ADRENAL tumors
- Publication
Paediatrics & Family Medicine / Pediatria i Medycyna Rodzinna, 2018, Vol 14, Issue 2, p237
- ISSN
1734-1531
- Publication type
Article
- DOI
10.15557/PiMR.2018.0025