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Captopril in Congenital Chloride Diarrhoea: A Case Study

机译:Captopril在先天性氯化物腹泻:一个案例研究

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An 11 months 22 days old girl presented with a history of watery diarrhoea since birth, failure to thrive, and developmental delay. Her diagnosis was congenital chloride diarrhoea (CCD) with raised level of chloride (>90 mmol/L) in stool in the absence of cystic fibrosis. Management of CCD included replacement of NaCl, KCl, and correction of dehydration. Diarrhoea of the patient was resolved with Captopril, which was initially provided to the patient for managing heart failure. To our knowledge, this is the first reported case of CCD that shows the beneficial effect of Captopril. Therefore, we suggest that further study is warranted as to the potential for Captopril as additional option in the treatment for CCD. We present this case report with the informed consent of the patient’s guardian.
机译:11个月22天老女孩患有自出生,未能茁壮成长和发育延迟以来的水汪汪的腹泻史。她的诊断是先天性氯化物腹泻(CCD)在没有囊性纤维化的情况下在粪便中升高氯化物(> 90mmol / L)。 CCD的管理包括替代NaCl,KCl和脱水的校正。患者的腹泻用卡托普利分离,其最初向患者提供以管理心力衰竭。为了我们的知识,这是第一个据报道的CCD案例,表现出了卡托普利的有益作用。因此,我们建议进一步研究是为了CCD治疗中的额外选择。我们介绍了此案报告,患者监护人的知情同意。

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