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Carcinoid syndrome is a paraneoplastic syndrome comprising the signs and symptoms that occur secondary to neuroendocrine tumors (formerly known as carcinoid tumors). [1] The syndrome is caused by neuroendocrine tumors most often found in the gut releasing biologically active substances into the blood causing symptoms such as flushing and diarrhea, and less frequently, heart failure, vomiting ...
Autoimmune enteropathy typically occurs in infants and younger children however, adult cases have been reported in literature. [9] Autoimmune enteropathy was first described by Walker-Smith et al. in 1982. [10] The mechanisms of autoimmune enteropathy isn't well known but dysfunction or deficiency of CD25+CD4+ regulatory T cells may play a role ...
The lack of naïve T lymphocytes is the cause of low plasticity of the immune system in the elderly. [11] In aging of the immune system is also a decrease in central tolerance and an increase in the number of autoreactive T cells. [12] B cells also have a decreased repertoire of naïve cells and an increase in memory B cells. [13]
M. avium, M. intracellulare, and M. chimaera are each saprotrophic organisms present in soil and water; entry into hosts is usually via the gastrointestinal tract, but also can be via the lungs. MAC infections can cause fevers, diarrhea, malabsorption, as well as loss of appetite and weight loss, and can disseminate to the bone marrow. MAI is ...
The next goal is to slow the diarrhea. Some medications can help control diarrhea. Octreotide, which is a human-made form of the natural hormone somatostatin, blocks the action of VIP. [citation needed] The best chance for a cure is surgery to remove the tumor. If the tumor has not spread to other organs, surgery can often cure the condition.
The extent of diarrhea is graded based on severity, from 1 to 5. Grade 1 diarrhea is defined by an increase in the number of stools below four per day (compared with baseline). Grade 2 diarrhea is defined by an increase of 4–6 bowel movements per day. Grade 3 diarrhea is defined by an increase by 7 or more bowel movements per day.
Patients with rectal obstruction (e.g., from fecal impaction, obstruction due to a vaginal pessary) may also present with pseudodiarrhea, since only liquid stool can make it through. [2] [3] Pseudodiarrhea may be more common than chronic diarrhea and should always be considered in patients complaining of chronic diarrhea. [citation needed]
Owing to the causal relationship between H. pylori infection and gastric MALT lymphoma, identification of the infection is imperative. Histological examination of GI biopsies yields a sensitivity of 95% with five biopsies, [7] but these should be from sites uninvolved by lymphoma and the identification of the organism may be compromised by areas of extensive intestinal metaplasia.