Chronic Diarrhea in a 5-Year-Old Girl: Pitfall in Routine Laboratory Testing with Potentially Severe Consequences/Commentary/Commentary

摘要

Values for all other variables were within the reference intervals. [...] the patient experienced recurrent abdominal pain, mild diarrhea, and occasional nausea. In retrospect, the patient's strict avoidance of fructosecontaining food, combined with recurrent episodes of fatigue and apathy, persistent enuresis and encopresis, delayed language development, and the fact that the symptoms started at the time of weaning, suggests HFI as the most probable diagnosis in this patient (1). Because only limited information was available about the details of the patient's history and because the main complaints were abdominal pain, bloating, and diarrhea (symptoms typical for fructose malabsorption), the fructose breath hydrogen test was performed.