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Hospital pediatrics. Classification of exymopathies (the most important)

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35. Classification of eximopathy

Classification.

pathogenic classification.

1. Exocrine pancreatic insufficiency:

1) cystic fibrosis of the pancreas;

2) chronic malnutrition with protein and calorie deficiency;

3) Shwachman-Diamond syndrome;

4) chronic pancreatitis with exocrine insufficiency;

5) specific enzyme defects (lipase, trypsinogen).

2. Insufficiency of bile acids:

1) obstruction of the biliary tract (biliary atresia, cholelithiasis, cancer of the pancreatic head);

2) resection of the ileum;

3) cirrhosis of the liver, chronic hepatitis (decreased secretion);

4) dysbacteriosis.

3. Violations of the functions of the stomach:

1) postgastrectomy syndrome;

2) vagotomy;

3) pernicious anemia caused by vitamin B12 deficiency.

4. Dysmotility:

1) hyperthyroidism;

2) diabetes mellitus;

3) scleroderma;

4) amyloidosis.

5. Pathology of the intestinal mucosa:

1) celiac disease;

2) lactase deficiency;

3) sucrase and isomaltase deficiency (combined);

4) exudative enteropathy;

5) cow’s milk (and/or soy) protein intolerance;

6) insufficiency of enterokinase;

7) α-, β-lipoproteinemia (Bassen-Kornzweig syndrome);

8) impaired transport of amino acids (tryptophan, methionine, lysine, etc.);

9) vitamin B12 malabsorption (transcobalamin-II deficiency);

10) congenital disorders of folic acid absorption processes;

11) chlorine-losing diarrhea;

12) vitamin D-dependent rickets;

13) enteropathic acrodermatitis;

14) Menkes syndrome (curly hair syndrome);

15) Crohn's disease;

16) malabsorption after suffering enteritis;

17) tropical sprue;

18) Whipple's disease;

19) chronic infections (immunodeficiency);

20) primary immune deficiency (Wiskott-Aldrich syndrome);

21) congenital short intestine;

22) short bowel syndrome after resection;

23) eosinophilic gastroenteritis.

Author: Pavlova N.V.

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