Pediatric inflammatory bowel disease: specificity of very early onset.

Abstract:

INTRODUCTION:The incidence of inflammatory bowel disease (IBD) has increased over the last 50 years. It is now recognized that several genetic defects can express an IBD-like phenotype at very early onset (<6 years). AREAS COVERED:The aim of this review was to update knowledge concerning the specificity of IBD at onset <6 years, which can include conventional/standard IBD as well as monogenic IBD-like diseases. Expert commentary: We found that females are less prone than males to develop monogenic disorders, which have X-linked heritability in several cases. Furthermore, the Crohn's Diseases (CD) subtype seems to be suggestive of monogenic disorders while Unclassified IBD (IBDU) subtype is predominantly found in conventional/standard IBD at onset <6 years. Isolated colonic location is prevalent in both the subsets of IBD at onset <6 years if compared to IBD at later onset. Monogenic disorders require more aggressive medical and surgical treatments and can be complicated by the occurrence of lymphomas.

authors

Capriati T,Cardile S,Papadatou B,Romano C,Knafelz D,Bracci F,Diamanti A

doi

10.1080/1744666X.2016.1184571

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

963-72

issue

9

eissn

1744-666X

issn

1744-8409

journal_volume

12

pub_type

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