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Microvillus Inclusion Disease Variant in an Infant with Intractable Diarrhea.


ABSTRACT: Microvillus inclusion disease (MVID) is a rare autosomal recessive congenital enteropathy characterized by intractable secretory diarrhea. We report a case of MVID variant with a homozygous gene mutation in syntaxin 3 (STX3). The patient is a male Saudi infant who presented shortly after birth with severe vomiting, metabolic acidosis, and mild diarrhea. Electron microscopy study for small intestinal biopsy was consistent with MVID. MYO5B gene mutation was excluded; subsequently, whole exome sequencing (WES) was performed, which revealed homozygous gene mutation in STX3. Using WES in clinical environment can be a useful tool for diagnosing difficult and rare inherited congenital enteropathies.

SUBMITTER: Alsaleem BMR 

PROVIDER: S-EPMC5731099 | biostudies-literature | 2017 Sep-Dec

REPOSITORIES: biostudies-literature

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Microvillus Inclusion Disease Variant in an Infant with Intractable Diarrhea.

Alsaleem Badr M Rasheed BMR   Ahmed Amna Basheer M ABM   Fageeh Musa Ahmad MA  

Case reports in gastroenterology 20170901 3


Microvillus inclusion disease (MVID) is a rare autosomal recessive congenital enteropathy characterized by intractable secretory diarrhea. We report a case of MVID variant with a homozygous gene mutation in syntaxin 3 <i>(STX3)</i>. The patient is a male Saudi infant who presented shortly after birth with severe vomiting, metabolic acidosis, and mild diarrhea. Electron microscopy study for small intestinal biopsy was consistent with MVID. MYO5B gene mutation was excluded; subsequently, whole exo  ...[more]

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