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Other Disorders of Digestive System01:30

Other Disorders of Digestive System

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The gastrointestinal tract is susceptible to various disorders. If the lower esophageal sphincter is damaged, stomach acid can flow back into the esophagus, causing irritation and inflammation of the lining. This condition is called gastroesophageal reflux disease (known as heartburn) and may cause chest pain and difficulty swallowing. In the stomach, prolonged use of nonsteroidal anti-inflammatory drugs like aspirin, chronic alcohol consumption, bacterial infections such as Helicobacter...
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Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Glucose Transporters01:27

Glucose Transporters

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Glucose transporters facilitate the transport of glucose across the cell membrane. In addition to glucose, some glucose transporters can also aid the movement of other hexoses such as fructose, mannose, and galactose.
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
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Inborn Errors of Metabolism01:20

Inborn Errors of Metabolism

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Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
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Autoimmune Disorders01:29

Autoimmune Disorders

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Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
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Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

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Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
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Video Experimental Relacionado

Updated: Sep 8, 2025

Recognition of Epidermal Transglutaminase by IgA and Tissue Transglutaminase 2 Antibodies in a Rare Case of Rhesus Dermatitis
10:27

Recognition of Epidermal Transglutaminase by IgA and Tissue Transglutaminase 2 Antibodies in a Rare Case of Rhesus Dermatitis

Published on: December 15, 2011

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Enfermedad celíaca

Carlo Catassi1, Elena F Verdu2, Julio Cesar Bai3

  • 1Department of Specialized Clinical Sciences and Odontostomatology, Polytechnic University of Marche, Ancona, Italy; Celiac Center and Mucosal Immunology and Biology Research, MassGeneral Hospital for Children-Harvard Medical School, Boston, MA, USA.

Lancet (London, England)
|June 12, 2022
PubMed
Resumen
Este resumen es generado por máquina.

La enfermedad celíaca es un trastorno autoinmune provocado por la ingestión de gluten en individuos susceptibles, que afecta al intestino delgado. La investigación está activa para tratamientos alternativos más allá de la dieta libre de gluten debido a su carga psicosocial significativa.

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Área de la Ciencia:

  • Inmunología
  • Gastroenterología
  • La genética

Sus antecedentes:

  • La enfermedad celíaca es un trastorno autoinmune que afecta al intestino delgado, prevalente en el 0,5-2% de la población.
  • Se desencadena por la ingestión de gluten en individuos genéticamente predispuestos, que involucran respuestas inmunes adaptativas e innatas complejas.
  • Las presentaciones clínicas varían ampliamente, desde síntomas gastrointestinales hasta manifestaciones extraintestinales y casos subclínicos.

Objetivo del estudio:

  • Proporcionar una visión global de la enfermedad celíaca.
  • Resaltar los criterios de diagnóstico y las complicaciones asociadas.
  • Discutir las estrategias de tratamiento actuales y la investigación activa en terapias alternativas.

Principales métodos:

  • Revisión de la literatura existente sobre la patogénesis, la presentación clínica, el diagnóstico y el tratamiento de la enfermedad celíaca.
  • Análisis de los marcadores de diagnóstico, incluidos los resultados serológicos (IgA anti-transglutaminasa 2, anticuerpos endomisiales) y los resultados de la biopsia del intestino delgado.
  • Examen de los mecanismos inmunológicos subyacentes a la enteropatía celíaca.

Principales resultados:

  • El diagnóstico de la enfermedad celíaca se basa en la serología positiva y la atrofia villosa.
  • La condición está asociada con posibles complicaciones como la osteoporosis y el linfoma intestinal.
  • Una dieta estricta sin gluten es el tratamiento principal, aunque es un desafío debido a la carga psicosocial.

Conclusiones:

  • La enfermedad celíaca requiere un enfoque multifacético para el diagnóstico y el tratamiento.
  • La dieta sin gluten, aunque es efectiva, presenta desafíos significativos, impulsando la investigación de alternativas farmacológicas.
  • La investigación adicional sobre tratamientos alternativos es crucial para aliviar la carga sobre los pacientes.