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Immunodeficiency and intestines - Diseases of digestive organs at children

Table of contents
Diseases of digestive organs at children
Oral cavity
Diseases of teeth
Malformations of the sky and soft tissues of an oral cavity
Diseases of a mucous membrane of an oral cavity and gums
Diseases of lips and language
Sialadens
Digestive tract
Basic reasons of gastrointestinal frustration
Gullet
Atresia and esophageal and tracheal fistula
Guttural and tracheal and esophageal crevice, inborn stenosis of a gullet
Other diseases of a gullet
Stomach and intestines
Peptic ulcer
Inborn hypertrophic pyloric stenosis
Inborn impassability of intestines
Inborn impassability of a duodenum
Disturbances of turn of intestines
Inborn impassability of a small bowel
Inborn megacolon
Diverticulums and duplikatura
The acquired impassability of intestines
Intestines invagination
Foreign bodys of a stomach and intestines
Motive frustration. stomach and intestines
Anomalies of a structure of anorectal area
Infectious diseases of intestines
Nonspecific ulcer colitis
Illness Krone
Necrotic coloenteritis of newborns
The coloenteritis connected with treatment by antibiotics
Gastrointestinal symptoms of anaphylactoid purpura, gemolitiko-uraemic syndrome
Intolerance of food proteins
Eosinophilic gastroenteritis
Absorption disturbance syndromes
Malabsorption
Immunodeficiency and intestines
Syndrome of "a congestive loop"
Syndrome of a short small bowel
Gee's disease
Sprue after acute enteritis
Tropical to a spr
Whipple's illness, intestines lymphangiectasia, Uolmap's illness, idiopathic diffusion defeat of mucous
Enzymopathies and disturbances of mechanisms of transport of nutrients
Irritable colon
Acute appendicitis
Diseases of an anus, direct and large intestine
Tumors of a digestive tract at children
Hernias of a digestive tract at children
Exocrine part of a pancreas
Pancreatitis
Embryonic development of structure and function of a liver
Diagnosis of diseases of a liver
Cholestatic states at babies
Parenchymatous jaundices at children of chest age
Disturbances of a metabolism of a liver and zhelchevydelitelny system
Anomalies of a structure of bilious ways
Cysts of bilious channels
Cholestasia and diseases of a liver connected with completely parenteral food
Medicinal damage of a liver
Ray's syndrome
Chronic hepatitis
Wilson's illness — Konovalova
Indian juvenile cirrhosis
Damages of a liver at chronic colitis
Cirrhosis and chronic liver failure
Portal hypertensia and varicosity of a gullet
Fatty infiltration of a liver
Cholecystitis
Peritoneum diseases
Peritonitis
Peritoneum hernias
IMMUNODEFICIENCY AND INTESTINES

Gastrointestinal symptoms are often observed at children with immunodeficiency, but intestines dysfunction mechanisms remain not clear with such patients. One patients are predisposed to infection with lyambliya; other patients with the expressed functional or morphological changes of intestines have no strong indications of intestinal infection. It is possible to assume, however, that disturbance of resistance of an organism to intestinal microflora is the cornerstone of dysfunction of intestines. The diagnostic assessment of a condition of such patients is complicated by the fact that some intestinal infections can cause secondary immunodeficiences a consequence of considerable losses with a stake of immunoglobulins and lymphocytes.        
The inborn pangipogammaglobulinemiya linked to a floor. Slight periodic diarrhea develops soon noqre of the birth and usually passes at children 2 years are more senior. On its background / the lambliasis rather often develops. In bioptata from a rectum abscesses of crypts are visible, however clinical signs of colitis are observed seldom.
Hypogammaglobulinemia. At these acquired frustration diarrhea arises more often and proceeds heavier, than at inborn pathology. Among patients of the advanced children's age about 50% have diarrhea and at many of them the steatorrhea is noted. In some cases focal dystrophy of fibers of a jejunum is observed, but at the same time the expressed disakharidazny insufficiency can proceed without noticeable structural disturbances. At X-ray inspection or a biopsy of a mucous membrane find a nodular lymphoid hyperplasia which clinically is not shown in any way.
The isolated insufficiency of IgA. This most widespread primary immunodeficiency seldom causes intestinal frustration. However patients with the isolated insufficiency have IgA more often than among the population in general, there are a lambliasis, an illness Krone, nonspecific ulcer colitis and a Gee's disease. The nature of such dependence is not clear.
Heavy combined immunodeficience (Swiss type). The heavy diarrhea and deep disturbances of absorption arising soon after the birth are one of the reasons of high mortality of such patients. The disease is characterized by deficit of disaccharidases, a focal atrophy of fibers of a small bowel and presence of PAS positive macrophages in own plate. In intestines of such patients within many months can persistirovat many microorganisms, for example rotaviruses.
Chronic granulomatosis. At the same time linked with a hollow disease in granulomas of intestines find multinuclear huge, cells and histiocytes with the increased maintenance of lipids in cytoplasm. Clinically the illness is shown by diarrhea, malabsorption, disturbance of passability of intestines.



 
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