Congenital diarrhoeal disorders: Advances in this evolving web of inherited enteropathies

Roberto Berni Canani, Giuseppe Castaldo, Rosa Bacchetta, Martín G. Martín, Olivier Goulet

Research output: Contribution to journalArticlepeer-review

Abstract

Congenital diarrhoeal disorders (CDDs) represent an evolving web of rare chronic enteropathies, with a typical onset early in life. In many of these conditions, severe chronic diarrhoea represents the primary clinical manifestation, whereas in others diarrhoea is only a component of a more complex multi-organ or systemic disorder. Typically, within the first days of life, diarrhoea leads to a life-threatening condition highlighted by severe dehydration and serum electrolyte abnormalities. Thus, in the vast majority of cases appropriate therapy must be started immediately to prevent dehydration and long-term, sometimes severe, complications. The number of well-characterized disorders attributed to CDDs has gradually increased over the past several years, and many new genes have been identified and functionally related to CDDs, opening new diagnostic and therapeutic perspectives. Molecular analysis has changed the diagnostic scenario in CDDs, and led to a reduction in invasive and expensive procedures. Major advances have been made in terms of pathogenesis, enabling a better understanding not only of these rare conditions but also of more common diseases mechanisms.

Original languageEnglish
Pages (from-to)293-302
Number of pages10
JournalNature Reviews Gastroenterology and Hepatology
Volume12
Issue number5
DOIs
Publication statusPublished - May 22 2015

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology
  • Medicine(all)

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