tailieunhanh - Chronic Liver Disease in Infancy and Preschool Children

yet we now have an opportunity to achieve real, lasting progress – because global leaders increasingly recognize that the health of women and children is the key to progress on all development goals. this global strategy requires that all partners unite and take coordinated action. everyone has an important role to play: governments, civil society, community organizations, global and regional institutions, donors, philanthropic foundations, the united nations and other multilateral organizations, development banks, the private sector, the health workforce, professional associations, academics and researchers. real progress is entirely possible. In fact, it has already been made in some of the world’s. | Chronic Liver Disease IJGE Issue 2 Vol 1 2002 article Chronic Liver Disease in Infancy and Preschool Children Mazin Hazim Kamil . . Hep . Med. . Hussain Al-Hilli . . ABSTRACT Background Chronic liver disease is an uncommon problem in infancy and early childhood and often presents a diagnostic difficulty due to atypical presentation and lack of experience. Objective To highlight the causes and prevalence of these disorders in early childhood. Setting A prospective descriptive case series study carried out during the period from August 1999 to July 2001 in the Iraqi Gastroenterology Center in Baghdad. Patients and Methods Thirty consecutive children below 6 years of age 8 infants and 22 preschool children INTRODUCTION Liver disease in childhood often present significant diagnostic difficulties. These disorders may present in similar fashion due to the liver s limited response to injury. Additionally since many of the individual conditions affecting the liver are relatively rare the non specialists often feels inexperienced in generating and evaluating a differential diagnosis Although some of the signs and symptoms of liver disease in children resemble those of adults some unique variations exist some of these variations were due to diagnoses more typically seen in infants and children such as metabolic diseases and others are due to the propensity of young infants to develop cholestasis in response to numerous different processes 2 . The pediatric chronic liver disease is categorized as follows 3 who fulfilled the criteria of chronic hepatobiliary disease were included. Results and Conclusion The commonest causes of chronic liver disease in infancy were extrahepatic bile duct disease 50 and metabolic liver disease . The most common causes in preschool children were chronic virus B hepatitis and metabolic cong. Liver disease for each most of the cases presented in late stage of the disease which necessitate more awareness .