Modern View on Very Early Onset and Early Onset Inflammatory Bowel Diseases in Children

A. I. Khavkin, Anastasiya A. Permyakova, M.O. Tsepilova, A. Kaplina, S. Sitkin, Andrej N. Surkov, Stanislav D. Getmanov
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Abstract

Nowadays, an urgent problem of pediatric gastroenterology is the study of inflammatory bowel diseases with very early onset (VEO-IBD), which have unique genetic, clinical, immunological, morphological, and laboratory sings. Early VEO-IBD is usually considered as monogenic disease, especially in combination with congenital immune defects, which leads to difficulties in diagnosis and management this pathology. Despite this, systematization of information about this group of nosological forms of IBD is practically not carried out. This article presents a review of the available information on etiological factors, course variants, and therapeutic options for VEO-IBD.
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儿童极早发和早发炎性肠病的现代观点
如今,小儿胃肠病学亟待解决的问题是研究发病极早的炎症性肠病(VEO-IBD),这些疾病具有独特的遗传、临床、免疫、形态和实验室特征。早期 VEO-IBD 通常被认为是单基因疾病,尤其是合并先天性免疫缺陷时,这就给诊断和治疗带来了困难。尽管如此,有关这组 IBD 病名形式的系统化信息实际上并没有进行。本文回顾了有关 VEO-IBD 的病因、病程变异和治疗方案的现有信息。
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