Diagnosis of microvillous inclusion disease

A case report and literature review with significance for Oman

Siham Al-Sinani, Sharef Waadallah Sharef, Ritu Lakhtakia, Mohamed Abdellatif

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Microvillous Inclusion Disease (MVID) is one of the congenital diarrheal disorders (CDD) caused by genetic defects in enterocyte differentiation and polarization. Its prevalence is higher in countries with a high degree of consanguinity. It causes severe, intractable secretory diarrhea leading to permanent and definitive intestinal failure with resultant dependency on parenteral nutrition (PN). Small bowel transplantation is the only curative treatment. The gold standard for diagnosis are the typical morphological abnormalities in small bowel biopsies on light and electron microscopy (EM). In recent times, histochemistry and immunohistochemistry have shown sufficient diagnostic accuracy replacing EM if the facility is unavailable or EM findings are inconclusive. We describe a neonate with CDD who was diagnosed to have MVID on the duodenal biopsy by morphohistochemical and immunophenotypic methods used for the first time in Oman. By utilizing such easy and accessible diagnostic methods, a rare genetic disorder could be diagnosed with certainty and the family could be counseled accordingly. With a high degree of consanguinity in the region, the prevalence of MVID in Oman needs to be identified once these patients are diagnosed by utilizing appropriate investigations. Care of such patients necessitates improving current parenteral nutrition services and addressing the future need for small bowel transplantation (SBTx), in Oman.

Original languageEnglish
Pages (from-to)497-500
Number of pages4
JournalOman Medical Journal
Volume27
Issue number6
DOIs
Publication statusPublished - 2012

Fingerprint

Oman
Cytomegalovirus Infections
Consanguinity
Congenital, Hereditary, and Neonatal Diseases and Abnormalities
Electron Microscopy
Parenteral Nutrition
Transplantation
Biopsy
Inborn Genetic Diseases
Enterocytes
Diarrhea
Patient Care
Immunohistochemistry
Newborn Infant
Light
Therapeutics

Keywords

  • Congenital diarrheal disorder
  • Intestinal transplantation
  • Microvillous inclusion disease
  • Small intestine biopsy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Diagnosis of microvillous inclusion disease : A case report and literature review with significance for Oman. / Al-Sinani, Siham; Sharef, Sharef Waadallah; Lakhtakia, Ritu; Abdellatif, Mohamed.

In: Oman Medical Journal, Vol. 27, No. 6, 2012, p. 497-500.

Research output: Contribution to journalArticle

Al-Sinani, Siham ; Sharef, Sharef Waadallah ; Lakhtakia, Ritu ; Abdellatif, Mohamed. / Diagnosis of microvillous inclusion disease : A case report and literature review with significance for Oman. In: Oman Medical Journal. 2012 ; Vol. 27, No. 6. pp. 497-500.
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