About Congenital tufting enteropathy
What is Congenital tufting enteropathy?
Congenital tufting enteropathy (CTE) is a rare genetic disorder that affects the small intestine. It is characterized by the presence of tufts of abnormal tissue in the small intestine, which can lead to malabsorption of nutrients, diarrhea, and failure to thrive. Treatment typically involves a combination of dietary modifications, medications, and surgery.
What are the symptoms of Congenital tufting enteropathy?
The symptoms of Congenital tufting enteropathy vary from person to person, but may include:
• Poor growth and failure to thrive
• Abdominal pain
• Weight loss
• Abnormal stools
• Abnormal liver function tests
• Intestinal obstruction
• Low blood sugar
• Low blood calcium
• Low blood magnesium
• Low blood potassium
• Abnormal electrolyte levels
• Abnormal blood clotting tests
• Abnormal urine tests
• Abnormal liver biopsy results
What are the causes of Congenital tufting enteropathy?
Congenital tufting enteropathy is a rare genetic disorder caused by mutations in the CDX2 gene. This gene is responsible for the production of a protein that helps regulate the development of the small intestine. Mutations in this gene can lead to the abnormal development of the small intestine, resulting in malabsorption of nutrients and other digestive problems. Other causes of congenital tufting enteropathy include chromosomal abnormalities, such as trisomy 21 (Down syndrome), and environmental factors, such as exposure to certain toxins or medications during pregnancy.
What are the treatments for Congenital tufting enteropathy?
1. Dietary modifications: Dietary modifications are the mainstay of treatment for congenital tufting enteropathy. This includes a low-fiber, low-residue diet, as well as the use of specialized formulas such as elemental formulas or polymeric formulas.
2. Medications: Medications such as corticosteroids, immunosuppressants, and antibiotics may be used to reduce inflammation and improve symptoms.
3. Surgery: Surgery may be necessary in some cases to remove the affected portion of the intestine.
4. Intestinal transplant: In severe cases, an intestinal transplant may be necessary.
What are the risk factors for Congenital tufting enteropathy?
1. Genetic mutations: Congenital tufting enteropathy is caused by mutations in the MYO5B gene.
2. Family history: Having a family history of the condition increases the risk of developing congenital tufting enteropathy.
3. Ethnicity: Congenital tufting enteropathy is more common in individuals of Middle Eastern descent.
4. Age: Congenital tufting enteropathy is more common in infants and young children.
Is there a cure/medications for Congenital tufting enteropathy?
At this time, there is no cure for congenital tufting enteropathy. Treatment focuses on managing symptoms and preventing complications. Medications used to treat this condition include antibiotics, anti-inflammatory drugs, and immunosuppressants. Nutritional support may also be necessary.