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Ulcerative colitis in an infant aged 20 months. A case report

Dominika Wilczyńska1, Kamila Mielniczuk1, Anna Szaflarska-Popławsk1,2

  • 1Department of Pediatrics, Allergology and Gastroenterology CM Bydgoszcz, NCU Torun, Poland.

Archivos Argentinos De Pediatria
|July 18, 2018
PubMed

Insights

Bloody diarrhea in young children can signal inflammatory bowel disease (IBD), a condition increasingly diagnosed in pediatric patients. This case highlights ulcerative colitis (UC) as a diagnosis in a 20-month-old with bloody stools.

Area of Science:

  • Pediatric Gastroenterology
  • Inflammatory Bowel Disease (IBD) Research

Background:

  • Bloody diarrhea is a frequent pediatric concern, with causes ranging from anal fissures to infectious enteritis.
  • Inflammatory Bowel Disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC), is increasingly diagnosed in children, even infants.
  • Paediatric IBD constitutes 7-20% of all IBD cases, with highest incidence in teenagers, but very early onset IBD occurs before age six.

Observation:

  • The case involves a 20-month-old boy presenting with bloody diarrhea.
  • Classic symptoms of CD include abdominal pain, diarrhea, and weight loss.
  • Ulcerative colitis (UC) is typically characterized by bloody diarrhea.

Findings:

  • The patient was ultimately diagnosed with ulcerative colitis (UC).
  • This case underscores the importance of considering IBD in young children with persistent bloody diarrhea.
  • Early diagnosis and management of paediatric IBD are crucial for long-term outcomes.

Implications:

  • Highlights the rising incidence and early presentation of pediatric inflammatory bowel disease.
  • Emphasizes the need for increased awareness and diagnostic vigilance for UC in infants and toddlers.
  • Suggests potential for earlier detection and intervention strategies for very early-onset IBD.

Keywords:
bloodchilddiarrhea infantinflammatory bowel diseases

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