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Case report
Congenital chloride diarrhoea
  1. Aisha Sajid,
  2. Sohaib Riaz,
  3. Aqsa Riaz and
  4. Bisma Safdar
  1. Department of Pediatrics, Madina Teaching Hospital, The University of Faisalabad, Faisalabad, Pakistan
  1. Correspondence to Professor Aisha Sajid; draisha_tanvir{at}hotmail.com

Abstract

Congenital chloride diarrhoea is one of the rare causes of diarrhoea during infancy and it is infrequently reported throughout the world. It is an autosomal recessive condition which is more prevalent in Poland, Finland, Saudi Arabia and Kuwait while rarely reported in Pakistan. Our patient was 7.5-month-old baby boy who presented with diarrhoea since neonatal period. He had consanguineous parents. On examination, baby had distended abdomen, hypotonia and hyporeflexia. Investigations revealed hypochloremic hypokalemic metabolic alkalosis. Urinary electrolytes were normal. Stool electrolytes revealed increased stool chloride excretion that confirmed our diagnosis of congenital chloride diarrhoea. Patient was treated with intravenous fluids and electrolyte replacement, followed by oral potassium and sodium replacement. He was also started on butyrate, cholestyramine and proton-pump inhibitors. He started gaining weight during his hospital admission and is being followed up in clinic.

  • gastrointestinal system
  • paediatrics (drugs and medicines)

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Footnotes

  • Contributors AS: principal investigator, write up the case. SR: contribution towards fact findings and investigating the patient, proofreading. AR and BS: completing the patient record and proofreading.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.