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<meta name="keywords" content="C0239181, diarrhea, episodic, episodic diarrhea, episodic diarrhoea, intermittent diarrhea, intermittent diarrhoea, sign or symptom, autosomal dominant, autosomal recessive, birth defects, chromosomal disease, chromosome, clinical features, clinical findings, clinical genetics, clinical recommendations, clinvar, congenital chromosomal disease, consumer genetic resources, cytogenetic location, disease characteristics, disease definitions, disease descriptions, disease ontology, disease synonyms, disease vocabulary, dysmorphology, entrez, familial disease, gene, gene-disease relationship, genereviews, genetic disease, genetic disorder, genetic terminology, genetic testing registry, genetics home reference, genomic disease, gtr, hereditary disease, heritable disease, hpo, human phenotype ontology, inherited disease, management guidelines, maternal inheritance, medgen, medical genetics, medical subject headings, mesh, mitochondrial inheritance, mode of inheritance, national center for biotechnology information, national institutes of health, national library of medicine, ncbi, nih, nlm, omim, ordo, orphanet, paternal inheritance, phenome, position statements, professional practice guidelines, rare disease, reference sequence, refseq, snomed ct, syndrome, undiagnosed diseases, x-linked recessive" /><meta name="description" content="Repeated episodes of diarrhea separated by periods without diarrhea." /><meta name="robots" content="index,nofollow,noarchive" />
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<!--
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||
UID=66782
|
||
ConceptID=C0239181
|
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-->
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<!--imgCountBooks = 0--><h1 class="medgenTitle"><div class="MedGenTitleText">Intermittent diarrhea</div></h1><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>66782</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information."><span class="highlight" style="background-color:">C0239181</span></a></dd><dt><span class="dotprefix"> •</span></dt><dd>Sign or Symptom</dd></dl></div></div><table class="medgenTable"><tbody><tr><td>Synonyms:</td>
|
||
<td>Diarrhea, episodic; Episodic diarrhea</td></tr>
|
||
<tr><td colspan="2" class="small"> </td></tr><tr><td>HPO:</td>
|
||
<td><a target="_blank" title="Human Phenotype Ontology" href="https://hpo.jax.org/app/browse/term/HP:0002254">HP:0002254</a></td></tr>
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<div class="portlet mgSection" id="ID_100">
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Definition">Definition</h1><a sid="100" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln">Repeated episodes of diarrhea separated by periods without diarrhea. [from <a title="Human Phenotype Ontology" href="http://www.human-phenotype-ontology.org" class="defSource" target="_blank">HPO</a>]</div>
|
||
</div>
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||
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||
<div class="portlet mgSection" id="ID_118">
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Term_Hierarchy">Term Hierarchy</h1><a sid="118" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln HierarchyGTR"><div class="jig-ncbitabs"><ul><li><a href="#tabGTR">GTR</a></li><li><a href="#tabMGEN">MeSH</a></li></ul><div id="tabGTR"><div class="search_result"><div class="rprts"><div class="chiclet_legend"><span class="chiclet_list" style="position:static;"><span title="Clinical test" class="chiclet Ccolor round">C</span><span>Clinical test, </span><span title="Research test" class="chiclet Rcolor round">R</span><span>Research test, </span><span title="OMIM" class="chiclet Ocolor ">O</span><span>OMIM, </span><span title="GeneReview" class="chiclet Gcolor">G</span><span><em>GeneReviews</em>, </span><span title="ClinVar" class="chiclet Vcolor">V</span><span>ClinVar </span></span></div><div id="hierarchy" class="margin_t1"><div class="ds_tree"><ul><li class="matched_ds"><span class="TLline">Intermittent diarrhea</span></li></ul></div></div></div></div></div><div id="tabMGEN"><div class="ds_tree"><ul><li><span class="TLline"><a href="/medgen/3828" ref="tree=MeSH" title="MedGen record for Disorder of digestive system">Disorder of digestive system</a></span><ul><li><span class="TLline"><a href="/medgen/78584" ref="tree=MeSH" title="MedGen record for Abnormality of the digestive system">Abnormality of the digestive system</a></span><ul><li><span class="TLline"><a href="/medgen/927601" ref="tree=MeSH" title="MedGen record for Abnormality of digestive system physiology">Abnormality of digestive system physiology</a></span><ul><li><span class="TLline"><a href="/medgen/488929" ref="tree=MeSH" title="MedGen record for Abdominal symptom">Abdominal symptom</a></span><ul><li><span class="TLline"><a href="/medgen/8360" ref="tree=MeSH" title="MedGen record for Diarrhea">Diarrhea</a></span><ul><li><span class="matched_ds">Intermittent diarrhea</span></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></div></div></div></div>
|
||
</div>
|
||
|
||
<div class="portlet mgSection" id="ID_112">
|
||
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Conditions_with_this_feature">Conditions with this feature</h1><a sid="112" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln clinfeat">
|
||
<div class="divPopper rprt" id="rdis_140769"><div><strong>Secretory piece deficiency</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>140769</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C0398709</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Deficiency of secretory IgA (polymers of 2-4 IgA monomers are linked by two additional chains) and is the primary antibody response at the mucosal level, where it forms immune complexes with pathogens and allergens.</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/140769">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_415885"><div><strong>Glycogen storage disease due to glucose-6-phosphatase deficiency type IA</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>415885</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C2919796</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Glycogen storage disease type I (GSD I) is characterized by accumulation of glycogen and fat in the liver and kidneys resulting in hepatomegaly and nephromegaly. Severely affected infants present in the neonatal period with severe hypoglycemia due to fasting intolerance. More commonly, untreated infants present at age three to four months with hepatomegaly, severe hypoglycemia with or without seizures, lactic acidosis, hyperuricemia, and hypertriglyceridemia. Affected children typically have doll-like faces with full cheeks, relatively thin extremities, short stature, and a protuberant abdomen. Xanthoma and diarrhea may be present. Impaired platelet function and development of reduced or dysfunctional von Willebrand factor can lead to a bleeding tendency with frequent epistaxis and menorrhagia in females. Individuals with untreated GSD Ib are more likely to develop impaired neutrophil and monocyte function as well as chronic neutropenia resulting in recurrent bacterial infections, gingivitis, periodontitis, and genital and intestinal ulcers. Long-term complications of untreated GSD I include short stature, osteoporosis, delayed puberty, renal disease (including proximal and distal renal tubular acidosis, renal stones, and kidney failure), gout, systemic hypertension, pulmonary hypertension, hepatic adenomas with potential for malignancy, pancreatitis, and polycystic ovaries. Seizures and cognitive impairment may occur in individuals with prolonged periods of hypoglycemia. Normal growth and puberty are expected in treated children. Most affected individuals live into adulthood.</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/415885">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_901370"><div><strong>DOCK2 deficiency</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>901370</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C4225328</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Immunodeficiency-40 is an autosomal recessive primary form of combined immunodeficiency mainly affecting T-cell number and function, with other more variable defects in B-cell and NK-cell function. Patients have onset of severe invasive bacterial and viral infections in early childhood and may die without bone marrow transplantation (summary by Dobbs et al., 2015).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/901370">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_1631838"><div><strong>Mitochondrial DNA depletion syndrome 1</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1631838</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C4551995</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Mitochondrial neurogastrointestinal encephalopathy (MNGIE) disease is characterized by progressive gastrointestinal dysmotility (manifesting as early satiety, nausea, dysphagia, gastroesophageal reflux, postprandial emesis, episodic abdominal pain and/or distention, and diarrhea); cachexia; ptosis/ophthalmoplegia or ophthalmoparesis; leukoencephalopathy; and demyelinating peripheral neuropathy (manifesting as paresthesias (tingling, numbness, and pain) and symmetric and distal weakness more prominently affecting the lower extremities). The order in which manifestations appear is unpredictable. Onset is usually between the first and fifth decades; in about 60% of individuals, symptoms begin before age 20 years.</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/1631838">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_1648280"><div><strong>Intellectual disability, autosomal dominant 57</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1648280</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C4748003</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Mental or Behavioral Dysfunction</dd></dl></div></div></div>
|
||
<div class="spaceAbove">MRD57 is an autosomal dominant neurodevelopmental disorder with a highly variable phenotype. Most affected individuals have delayed psychomotor development apparent in infancy or early childhood, language delay, and behavioral abnormalities. Additional features may include hypotonia, feeding problems, gastrointestinal issues, and dysmorphic facial features (summary by Reijnders et al., 2018).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/1648280">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_1794283"><div><strong>Immunodeficiency 91 and hyperinflammation</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1794283</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C5562073</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Immunodeficiency-91 and hyperinflammation (IMD91) is an autosomal recessive complex immunologic disorder characterized by both immunodeficiency and recurrent infections, often to viruses or mycobacteria, as well as by hyperinflammation with systemic involvement. Affected individuals present in infancy with variable features, including fever, infection, thrombocytopenia, renal or hepatic dysfunction, recurrent infections, or seizures. Most patients eventually develop hepatic or renal failure, compromised neurologic function, lymphadenopathy or hepatosplenomegaly, and multiorgan failure resulting in death. More variable features may include intermittent monocytosis, features of hemophagocytic lymphohistiocytosis (HLH), and serologic evidence of hyperinflammation. The disorder is thought to result from dysregulation of the interferon response to viral stimulation in the innate immune system (summary by Le Voyer et al., 2021; Vavassori et al., 2021).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/1794283">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_1823957"><div><strong>Neurodevelopmental disorder with epilepsy and brain atrophy</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1823957</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C5774184</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Neurodevelopmental disorder with epilepsy and brain atrophy (NEDEBA) is an autosomal recessive disorder characterized by early-onset progressive myoclonus epilepsy with ataxia (summary by Bott et al., 2021).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/1823957">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_1840955"><div><strong>Neurodevelopmental disorder with absent speech and movement and behavioral abnormalities</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1840955</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C5830319</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Mental or Behavioral Dysfunction</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Neurodevelopmental disorder with absent speech and movement and behavioral abnormalities (NEDSMB) is an autosomal recessive disorder characterized by global developmental delay and severely impaired intellectual development with aggressive behavior. Mild dysmorphic features and hypodontia are also present (Faqeih et al., 2023).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/1840955">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_1847791"><div><strong>Immunodeficiency 115 with autoinflammation</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1847791</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C5882724</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Immunodeficiency-115 with autoinflammation (IMD115) is an autosomal recessive disorder characterized by the onset of symptoms of immune dysregulation in early infancy. Affected individuals have immunodeficiency with recurrent bacterial, viral, and fungal infections, as well as autoinflammatory features, including arthritis and dermatitis. Some patients may have more systemic involvement, such as myopathy, gastrointestinal abnormalities, and anemia. Laboratory studies show variable B-cell and T-cell defects, sometimes with defective antibody responses and hypogammaglobulinemia (Boisson et al., 2015; Oda et al., 2019).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/1847791">Condition Record</a></div></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_901370" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">DOCK2 deficiency</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_415885" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Glycogen storage disease due to glucose-6-phosphatase deficiency type IA</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1847791" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Immunodeficiency 115 with autoinflammation</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1794283" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Immunodeficiency 91 and hyperinflammation</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1648280" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Intellectual disability, autosomal dominant 57</a></div><div class="jig-moreless" data-jigconfig="class: 'moveDown', moreText: 'See full list (9)', lessText: 'Show less', nodeBefore: 0"><span id="clinMore">
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1631838" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Mitochondrial DNA depletion syndrome 1</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1840955" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Neurodevelopmental disorder with absent speech and movement and behavioral abnormalities</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1823957" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Neurodevelopmental disorder with epilepsy and brain atrophy</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_140769" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Secretory piece deficiency</a></div></span></div></div>
|
||
</div>
|
||
|
||
<div class="portlet mgSection" id="ID_105">
|
||
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Professional_guidelines">Professional guidelines</h1><a sid="105" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln"><h3 class="subhead">PubMed<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpPM"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/20838811">Genotypes of Giardia intestinalis clinical isolates of gastrointestinal symptomatic and asymptomatic Saudi children.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Al-Mohammed HI</span><br />
|
||
<span class="medgenPMjournal">Parasitol Res</span>
|
||
2011 Jun;108(6):1375-81.
|
||
Epub 2010 Sep 14
|
||
doi: 10.1007/s00436-010-2033-5.
|
||
<span class="bold">PMID: </span><a href="/pubmed/20838811" target="_blank">20838811</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/19254068">Real-time PCR/RFLP assay to detect Giardia intestinalis genotypes in human isolates with diarrhea in Egypt.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Helmy MM,
|
||
Abdel-Fattah HS,
|
||
Rashed L</span><br />
|
||
<span class="medgenPMjournal">J Parasitol</span>
|
||
2009 Aug;95(4):1000-4.
|
||
doi: 10.1645/GE-1670.1.
|
||
<span class="bold">PMID: </span><a href="/pubmed/19254068" target="_blank">19254068</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/7944073">Cyclospora infection in adults infected with HIV. Clinical manifestations, treatment, and prophylaxis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Pape JW,
|
||
Verdier RI,
|
||
Boncy M,
|
||
Boncy J,
|
||
Johnson WD Jr</span><br />
|
||
<span class="medgenPMjournal">Ann Intern Med</span>
|
||
1994 Nov 1;121(9):654-7.
|
||
doi: 10.7326/0003-4819-121-9-199411010-00004.
|
||
<span class="bold">PMID: </span><a href="/pubmed/7944073" target="_blank">7944073</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(%22intermittent%20diarrhea%22%5Btiab%3A~0%5D)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">See all (4)</a></div></div>
|
||
</div>
|
||
<div class="display-none help-popup" id="guidelinesHelpPM">These guidelines are articles in PubMed that match specific search criteria developed by MedGen to capture the most relevant practice guidelines. This list may not be comprehensive and may include broader topics as well. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div><div class="display-none help-popup" id="guidelinesHelpCurated">These guidelines are manually curated by the MedGen team
|
||
to supplement articles available in PubMed. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div>
|
||
<div class="portlet mgSection" id="ID_103">
|
||
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_clinical_studies">Recent clinical studies</h1><a sid="103" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln"><h3 class="subhead">Etiology</h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/38213213">Giardiasis Combined with Sepsis and DIC in a Chinese Child from Ganzi Tibetan Autonomous Prefecture.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Xu L,
|
||
Li J,
|
||
Hu Z</span><br />
|
||
<span class="medgenPMjournal">Clin Lab</span>
|
||
2024 Jan 1;70(1)
|
||
doi: 10.7754/Clin.Lab.2023.230658.
|
||
<span class="bold">PMID: </span><a href="/pubmed/38213213" target="_blank">38213213</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/32125011">Cutaneous microsporidiosis in an immunosuppressed patient.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Nadelman DA,
|
||
Bradt AR,
|
||
Qvarnstrom Y,
|
||
Goldsmith CS,
|
||
Zaki SR,
|
||
Wang F,
|
||
Smith EH,
|
||
Fullen DR</span><br />
|
||
<span class="medgenPMjournal">J Cutan Pathol</span>
|
||
2020 Jul;47(7):659-663.
|
||
Epub 2020 Mar 20
|
||
doi: 10.1111/cup.13674.
|
||
<span class="bold">PMID: </span><a href="/pubmed/32125011" target="_blank">32125011</a><a href="/pmc/articles/PMC8805087" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/28884331">Paratuberculosis in Latin America: a systematic review.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Espeschit IF,
|
||
Schwarz DGG,
|
||
Faria ACS,
|
||
Souza MCC,
|
||
Paolicchi FA,
|
||
Juste RA,
|
||
Carvalho IA,
|
||
Moreira MAS</span><br />
|
||
<span class="medgenPMjournal">Trop Anim Health Prod</span>
|
||
2017 Dec;49(8):1557-1576.
|
||
Epub 2017 Sep 7
|
||
doi: 10.1007/s11250-017-1385-6.
|
||
<span class="bold">PMID: </span><a href="/pubmed/28884331" target="_blank">28884331</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/22318104">Infantile systemic hyalinosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Giri PP,
|
||
Raushan R,
|
||
Ghosh A,
|
||
Pal P</span><br />
|
||
<span class="medgenPMjournal">Indian Pediatr</span>
|
||
2012 Jan;49(1):62-4.
|
||
<span class="bold">PMID: </span><a href="/pubmed/22318104" target="_blank">22318104</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/15778529">Atypical Whipple's disease.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Mehta A,
|
||
Patkar N,
|
||
Duhan S,
|
||
Srinivas,
|
||
Nema S</span><br />
|
||
<span class="medgenPMjournal">Indian J Gastroenterol</span>
|
||
2005 Jan-Feb;24(1):31.
|
||
<span class="bold">PMID: </span><a href="/pubmed/15778529" target="_blank">15778529</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Intermittent%20diarrhea%22%20AND%20Etiology%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (37)</a></div><h3 class="subhead">Diagnosis</h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/38213213">Giardiasis Combined with Sepsis and DIC in a Chinese Child from Ganzi Tibetan Autonomous Prefecture.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Xu L,
|
||
Li J,
|
||
Hu Z</span><br />
|
||
<span class="medgenPMjournal">Clin Lab</span>
|
||
2024 Jan 1;70(1)
|
||
doi: 10.7754/Clin.Lab.2023.230658.
|
||
<span class="bold">PMID: </span><a href="/pubmed/38213213" target="_blank">38213213</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/32628606">Human Ascariasis: An Updated Review.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Leung AKC,
|
||
Leung AAM,
|
||
Wong AHC,
|
||
Hon KL</span><br />
|
||
<span class="medgenPMjournal">Recent Pat Inflamm Allergy Drug Discov</span>
|
||
2020;14(2):133-145.
|
||
doi: 10.2174/1872213X14666200705235757.
|
||
<span class="bold">PMID: </span><a href="/pubmed/32628606" target="_blank">32628606</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/22318104">Infantile systemic hyalinosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Giri PP,
|
||
Raushan R,
|
||
Ghosh A,
|
||
Pal P</span><br />
|
||
<span class="medgenPMjournal">Indian Pediatr</span>
|
||
2012 Jan;49(1):62-4.
|
||
<span class="bold">PMID: </span><a href="/pubmed/22318104" target="_blank">22318104</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/15778529">Atypical Whipple's disease.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Mehta A,
|
||
Patkar N,
|
||
Duhan S,
|
||
Srinivas,
|
||
Nema S</span><br />
|
||
<span class="medgenPMjournal">Indian J Gastroenterol</span>
|
||
2005 Jan-Feb;24(1):31.
|
||
<span class="bold">PMID: </span><a href="/pubmed/15778529" target="_blank">15778529</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/1735095">Giardiasis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Wolfe MS</span><br />
|
||
<span class="medgenPMjournal">Clin Microbiol Rev</span>
|
||
1992 Jan;5(1):93-100.
|
||
doi: 10.1128/CMR.5.1.93.
|
||
<span class="bold">PMID: </span><a href="/pubmed/1735095" target="_blank">1735095</a><a href="/pmc/articles/PMC358225" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Intermittent%20diarrhea%22%20AND%20Diagnosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (77)</a></div><h3 class="subhead">Therapy</h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/32628606">Human Ascariasis: An Updated Review.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Leung AKC,
|
||
Leung AAM,
|
||
Wong AHC,
|
||
Hon KL</span><br />
|
||
<span class="medgenPMjournal">Recent Pat Inflamm Allergy Drug Discov</span>
|
||
2020;14(2):133-145.
|
||
doi: 10.2174/1872213X14666200705235757.
|
||
<span class="bold">PMID: </span><a href="/pubmed/32628606" target="_blank">32628606</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/22983294">Whipple's disease: rare disorder and late diagnosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Renon VP,
|
||
Appel-da-Silva MC,
|
||
D'Incao RB,
|
||
Lul RM,
|
||
Kirschnick LS,
|
||
Galperim B</span><br />
|
||
<span class="medgenPMjournal">Rev Inst Med Trop Sao Paulo</span>
|
||
2012 Sep-Oct;54(5):293-7.
|
||
doi: 10.1590/s0036-46652012000500010.
|
||
<span class="bold">PMID: </span><a href="/pubmed/22983294" target="_blank">22983294</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/20575662">Chronic norovirus infection after kidney transplantation: molecular evidence for immune-driven viral evolution.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Schorn R,
|
||
Höhne M,
|
||
Meerbach A,
|
||
Bossart W,
|
||
Wüthrich RP,
|
||
Schreier E,
|
||
Müller NJ,
|
||
Fehr T</span><br />
|
||
<span class="medgenPMjournal">Clin Infect Dis</span>
|
||
2010 Aug 1;51(3):307-14.
|
||
doi: 10.1086/653939.
|
||
<span class="bold">PMID: </span><a href="/pubmed/20575662" target="_blank">20575662</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/15778529">Atypical Whipple's disease.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Mehta A,
|
||
Patkar N,
|
||
Duhan S,
|
||
Srinivas,
|
||
Nema S</span><br />
|
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<span class="medgenPMjournal">Indian J Gastroenterol</span>
|
||
2005 Jan-Feb;24(1):31.
|
||
<span class="bold">PMID: </span><a href="/pubmed/15778529" target="_blank">15778529</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/15208751">Recurrent vomiting and persistent gastroesophageal reflux caused by unrecognized constipation.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Borowitz SM,
|
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Sutphen JL</span><br />
|
||
<span class="medgenPMjournal">Clin Pediatr (Phila)</span>
|
||
2004 Jun;43(5):461-6.
|
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doi: 10.1177/000992280404300507.
|
||
<span class="bold">PMID: </span><a href="/pubmed/15208751" target="_blank">15208751</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Intermittent%20diarrhea%22%20AND%20Therapy%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (52)</a></div><h3 class="subhead">Prognosis</h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/22318104">Infantile systemic hyalinosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Giri PP,
|
||
Raushan R,
|
||
Ghosh A,
|
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Pal P</span><br />
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<span class="medgenPMjournal">Indian Pediatr</span>
|
||
2012 Jan;49(1):62-4.
|
||
<span class="bold">PMID: </span><a href="/pubmed/22318104" target="_blank">22318104</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/20575662">Chronic norovirus infection after kidney transplantation: molecular evidence for immune-driven viral evolution.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Schorn R,
|
||
Höhne M,
|
||
Meerbach A,
|
||
Bossart W,
|
||
Wüthrich RP,
|
||
Schreier E,
|
||
Müller NJ,
|
||
Fehr T</span><br />
|
||
<span class="medgenPMjournal">Clin Infect Dis</span>
|
||
2010 Aug 1;51(3):307-14.
|
||
doi: 10.1086/653939.
|
||
<span class="bold">PMID: </span><a href="/pubmed/20575662" target="_blank">20575662</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/15778529">Atypical Whipple's disease.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Mehta A,
|
||
Patkar N,
|
||
Duhan S,
|
||
Srinivas,
|
||
Nema S</span><br />
|
||
<span class="medgenPMjournal">Indian J Gastroenterol</span>
|
||
2005 Jan-Feb;24(1):31.
|
||
<span class="bold">PMID: </span><a href="/pubmed/15778529" target="_blank">15778529</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/1775838">Use of ciprofloxacin for successful eradication of bacteremia due to Campylobacter cinaedi in a human immunodeficiency virus-infected person.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Sacks LV,
|
||
Labriola AM,
|
||
Gill VJ,
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Gordin FM</span><br />
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<span class="medgenPMjournal">Rev Infect Dis</span>
|
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1991 Nov-Dec;13(6):1066-8.
|
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doi: 10.1093/clinids/13.6.1066.
|
||
<span class="bold">PMID: </span><a href="/pubmed/1775838" target="_blank">1775838</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/6987740">Prolonged intermittent diarrhea after Shiga dysentery: postdysenteric syndrome.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Rice PA,
|
||
Baine WB</span><br />
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||
<span class="medgenPMjournal">South Med J</span>
|
||
1980 Mar;73(3):381-3.
|
||
doi: 10.1097/00007611-198003000-00034.
|
||
<span class="bold">PMID: </span><a href="/pubmed/6987740" target="_blank">6987740</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Intermittent%20diarrhea%22%20AND%20Prognosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (34)</a></div><h3 class="subhead">Clinical prediction guides</h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/36058908">Are we forgetting to carry out serum protein electrophoresis as part of diagnosis workup?</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Marcondes MB,
|
||
Susuki CMP,
|
||
Hokama NK,
|
||
Hokama POM,
|
||
Oliver FA,
|
||
Chaib PS,
|
||
Qi X,
|
||
Romeiro FG</span><br />
|
||
<span class="medgenPMjournal">BMC Gastroenterol</span>
|
||
2022 Sep 4;22(1):406.
|
||
doi: 10.1186/s12876-022-02477-6.
|
||
<span class="bold">PMID: </span><a href="/pubmed/36058908" target="_blank">36058908</a><a href="/pmc/articles/PMC9441081" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/32628606">Human Ascariasis: An Updated Review.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Leung AKC,
|
||
Leung AAM,
|
||
Wong AHC,
|
||
Hon KL</span><br />
|
||
<span class="medgenPMjournal">Recent Pat Inflamm Allergy Drug Discov</span>
|
||
2020;14(2):133-145.
|
||
doi: 10.2174/1872213X14666200705235757.
|
||
<span class="bold">PMID: </span><a href="/pubmed/32628606" target="_blank">32628606</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/29412435">ACRODERMATITIS ENTEROPATHICA: CLINICAL MANIFESTATIONS AND PEDIATRIC DIAGNOSIS.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Ciampo IRLD,
|
||
Sawamura R,
|
||
Ciampo LAD,
|
||
Fernandes MIM</span><br />
|
||
<span class="medgenPMjournal">Rev Paul Pediatr</span>
|
||
2018 Apr-Jun;36(2):238-241.
|
||
Epub 2018 Jan 15
|
||
doi: 10.1590/1984-0462/;2018;36;2;00010.
|
||
<span class="bold">PMID: </span><a href="/pubmed/29412435" target="_blank">29412435</a><a href="/pmc/articles/PMC6038791" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/23859448">Histamine intolerance as a cause of chronic digestive complaints in pediatric patients.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Rosell-Camps A,
|
||
Zibetti S,
|
||
Pérez-Esteban G,
|
||
Vila-Vidal M,
|
||
Ferrés-Ramis L,
|
||
García-Teresa-García E</span><br />
|
||
<span class="medgenPMjournal">Rev Esp Enferm Dig</span>
|
||
2013 Apr;105(4):201-6.
|
||
doi: 10.4321/s1130-01082013000400004.
|
||
<span class="bold">PMID: </span><a href="/pubmed/23859448" target="_blank">23859448</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/3340460">Aeromonas-associated gastroenteritis in children.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">San Joaquin VH,
|
||
Pickett DA</span><br />
|
||
<span class="medgenPMjournal">Pediatr Infect Dis J</span>
|
||
1988 Jan;7(1):53-7.
|
||
doi: 10.1097/00006454-198801000-00013.
|
||
<span class="bold">PMID: </span><a href="/pubmed/3340460" target="_blank">3340460</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Intermittent%20diarrhea%22%20AND%20Clinical%20prediction%20guides%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (16)</a></div></div>
|
||
</div>
|
||
|
||
<div class="portlet mgSection" id="ID_104">
|
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_systematic_reviews">Recent systematic reviews</h1><a sid="104" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
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<div class="portlet_content ln">
|
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<div class="nl"><a target="_blank" href="/pubmed/28884331">Paratuberculosis in Latin America: a systematic review.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Espeschit IF,
|
||
Schwarz DGG,
|
||
Faria ACS,
|
||
Souza MCC,
|
||
Paolicchi FA,
|
||
Juste RA,
|
||
Carvalho IA,
|
||
Moreira MAS</span><br />
|
||
<span class="medgenPMjournal">Trop Anim Health Prod</span>
|
||
2017 Dec;49(8):1557-1576.
|
||
Epub 2017 Sep 7
|
||
doi: 10.1007/s11250-017-1385-6.
|
||
<span class="bold">PMID: </span><a href="/pubmed/28884331" target="_blank">28884331</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Intermittent%20diarrhea%22%20AND%20systematic%5Bsb%5D%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (1)</a></div></div>
|
||
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|
||
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|
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<h2 class="offscreen_noflow">Supplemental Content</h2>
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