A rare cause of rectovaginal fistula in early infancy: It is in the genes!
Acquired Rectovaginal Fistula (RVF) is rare in infants. Interleukin10/ Interleukin 10 receptor deficiencies are monogenic disorders presenting as aggressive forms of infantile onset inflammatory bowel disease with perianal abscess and fistula. Genetic studies assist in confirming the diagnosis. We p...
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Wolters Kluwer Medknow Publications
2021
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oai:doaj.org-article:6519761bac9f4d569c8e8410e601faf72021-11-19T10:42:06ZA rare cause of rectovaginal fistula in early infancy: It is in the genes!0971-92611998-389110.4103/jiaps.JIAPS_217_20https://doaj.org/article/6519761bac9f4d569c8e8410e601faf72021-01-01T00:00:00Zhttp://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=6;spage=442;epage=444;aulast=Swaminathanhttps://doaj.org/toc/0971-9261https://doaj.org/toc/1998-3891Acquired Rectovaginal Fistula (RVF) is rare in infants. Interleukin10/ Interleukin 10 receptor deficiencies are monogenic disorders presenting as aggressive forms of infantile onset inflammatory bowel disease with perianal abscess and fistula. Genetic studies assist in confirming the diagnosis. We present a two month old infant with rectovaginal fistula, severe colitis, failure to thrive and recurrent infections in whom colonoscopy revealed irregular colonic ulcers, and genetic studies confirmed an IL10RB mutation. Hematopoietic Stem cell transplantation is the definitive therapy for this disorder which the child underwent. We report this infant with an acquired RVF with extraintestinal features due to IL10RB mutation to highlight the importance of thinking beyond the local anatomy and looking into the genetic domain.Aravind SwaminathanMalathi SathiyasekaranSwathi PadankattiRajiv B PadankattiS ArulprakashRevathi RajWolters Kluwer Medknow Publicationsarticlerectovaginal fistulainfantile onset ibdmonogenic ibdil10/il10rhematopoietic stem cell transplantPediatricsRJ1-570SurgeryRD1-811ENJournal of Indian Association of Pediatric Surgeons, Vol 26, Iss 6, Pp 442-444 (2021) |
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topic |
rectovaginal fistula infantile onset ibd monogenic ibd il10/il10r hematopoietic stem cell transplant Pediatrics RJ1-570 Surgery RD1-811 |
spellingShingle |
rectovaginal fistula infantile onset ibd monogenic ibd il10/il10r hematopoietic stem cell transplant Pediatrics RJ1-570 Surgery RD1-811 Aravind Swaminathan Malathi Sathiyasekaran Swathi Padankatti Rajiv B Padankatti S Arulprakash Revathi Raj A rare cause of rectovaginal fistula in early infancy: It is in the genes! |
description |
Acquired Rectovaginal Fistula (RVF) is rare in infants. Interleukin10/ Interleukin 10 receptor deficiencies are monogenic disorders presenting as aggressive forms of infantile onset inflammatory bowel disease with perianal abscess and fistula. Genetic studies assist in confirming the diagnosis. We present a two month old infant with rectovaginal fistula, severe colitis, failure to thrive and recurrent infections in whom colonoscopy revealed irregular colonic ulcers, and genetic studies confirmed an IL10RB mutation. Hematopoietic Stem cell transplantation is the definitive therapy for this disorder which the child underwent. We report this infant with an acquired RVF with extraintestinal features due to IL10RB mutation to highlight the importance of thinking beyond the local anatomy and looking into the genetic domain. |
format |
article |
author |
Aravind Swaminathan Malathi Sathiyasekaran Swathi Padankatti Rajiv B Padankatti S Arulprakash Revathi Raj |
author_facet |
Aravind Swaminathan Malathi Sathiyasekaran Swathi Padankatti Rajiv B Padankatti S Arulprakash Revathi Raj |
author_sort |
Aravind Swaminathan |
title |
A rare cause of rectovaginal fistula in early infancy: It is in the genes! |
title_short |
A rare cause of rectovaginal fistula in early infancy: It is in the genes! |
title_full |
A rare cause of rectovaginal fistula in early infancy: It is in the genes! |
title_fullStr |
A rare cause of rectovaginal fistula in early infancy: It is in the genes! |
title_full_unstemmed |
A rare cause of rectovaginal fistula in early infancy: It is in the genes! |
title_sort |
rare cause of rectovaginal fistula in early infancy: it is in the genes! |
publisher |
Wolters Kluwer Medknow Publications |
publishDate |
2021 |
url |
https://doaj.org/article/6519761bac9f4d569c8e8410e601faf7 |
work_keys_str_mv |
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