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J Trop Pediatr. 2013 Dec;59(6):470-5. doi: 10.1093/tropej/fmt055. Epub 2013 Jun 27.

Toddler's diarrhea: is it an under-recognized entity in developing countries?

Author information

1
Department of Pediatric Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Abstract

AIM:

As there is no report of toddler's diarrhea (TD) from the developing world, we have analyzed our experience of 191 children (<5 years) with chronic diarrhea over 7 years.

METHODS:

Clinical details, investigations and outcome were retrieved and recorded in a proforma. TD was ascribed in those who had normal growth and no evidence of malabsorption or enteric infections.

RESULTS:

The etiology of chronic diarrhea was TD 16%, celiac disease (CD) 37%, cow's milk protein allergy (CMPA) 35% and others 12%. The mean age of 30 children with TD was 2.7 ± 1.2 years (22 boys). While comparing TD with CD and CMPA, weight z score (>-2.2) and hemoglobin (>10 or 10.9 g/dL for CD and CMPA, respectively) were independent variables to discriminate TD from CD and CMPA.

CONCLUSIONS:

TD is common in developing countries like India too. Anthropometry and hemoglobin can differentiate it from CD and CMPA.

KEYWORDS:

butter; celiac disease; cow’s milk protein allergy; non-specific diarrhea

PMID:
23812015
DOI:
10.1093/tropej/fmt055
[Indexed for MEDLINE]

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