Table 20-6.
Differential Diagnosis of Neonatal Diarrhea
| Diagnosis | Reference(s) |
|---|---|
| Anatomic Disorders | |
| Microvillous inclusion disease | 1245 |
| Hirschsprung’s disease | 1246 |
| Massive intestinal resection (short-bowel syndrome) | 1247 |
| Intestinal lymphangiectasis | 1248 |
| Metabolic and Enzymatic Disorders | |
| Congenital disaccharidase deficiency (lactase, sucrase-isomaltase deficiency) | 1249,1250 |
| Congenital glucose-galactose malabsorption | 1251,1252 |
| Secondary disaccharide, monosaccharide malabsorption | 337,528,1252,1253,1254,1255,1256,1257,1258 |
| After gastrointestinal surgery | |
| After infection | |
| With milk-soy protein sensitivity | |
| Cystic fibrosis | 1259 |
| Syndrome of pancreatic insufficiency and bone marrow dysfunction (Shwachman’s syndrome) | 1260 |
| Physiologic deficiency of pancreatic amylase | 1261 |
| Intestinal enterokinase deficiency | 1262 |
| Congenital bile acid deficiency syndrome | 1263 |
| Alpha/beta-lipoproteinemia | 1264 |
| Acrodermatitis enteropathica | 1265,1266 |
| Congenital chloride diarrhea | 1267,1268 |
| Primary hypomagnesemia | 1269 |
| Congenital adrenal hyperplasia | 1270 |
| Intestinal hormone hypersecretion | 1271,1272 |
| Non–beta islet cell hyperplasia (Wolman’s disease) | 1273 |
| Transcobalamin II deficiency | 1274 |
| Congenital iron storage | 1275 |
| Hartnup’s disease | 1276 |
| Congenital Na+ diarrhea | 1277 |
| Inflammatory Disorders | |
| Cow’s milk protein intolerance | 1278 |
| Soy protein intolerance | 1279,1280 |
| Regional enteritis | 1281 |
| Ulcerative colitis | 1282,1283 |
| Primary Immunodeficiency Disorders | |
| Wiskott-Aldrich syndrome | 1284 |
| Thymic dysplasia | 1284 |
| Acquired immunodeficiency syndrome | 1285 |
| Miscellaneous | |
| Irritable colon of childhood (chronic nonspecific diarrhea) | 1286 |
| Phototherapy for hyperbilirubinemia | 1287 |
| Familial dysautonomia (Riley-Day syndrome) | 1288 |
| Familial enteropathy | 1289,1290 |
| High sulfates in water | 1291 |
| Phenolphthalein poisoning/child abuse | 1292 |