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We report a 7-year-old girl born with pyloric atresia but without congenital epidermolysis bullosa or skin fragility. Nail dysplasia developed at age 8 months and throughout childhood she suffered from onycholysis and mild nail hypertrophy. Whole-exome sequencing demonstrated biallelic mutations in alpha6 integrin (ITGA6): p.

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Article Synopsis
  • Infantile hypertrophic pyloric stenosis (IHPS) is a condition in infants that causes the pylorus to thicken, resulting in gastric outlet obstruction and severe vomiting.
  • This case series discusses two infants with IHPS who displayed metabolic acidosis, rather than the typical metabolic alkalosis usually seen in such cases.
  • The presence of metabolic acidosis suggests there may be different underlying issues in these cases, indicating that diagnosing IHPS may require a more comprehensive approach.
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Article Synopsis
  • Infantile hypertrophic pyloric stenosis (IHPS) is a serious condition in babies where the stomach can't empty properly due to thickened muscles.
  • This study looked at how well treatment works for IHPS in children and what factors affect their recovery.
  • Results showed that a significant number of babies had poor recovery, especially if they waited too long for treatment, had dehydration, or low potassium levels.
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Prepyloric gastric antral muscular ring in an infant.

Clin J Gastroenterol

October 2024

Department of Diagnostic Radiology, Stony Brook University Hospital, Stony Brook, NY, USA.

Article Synopsis
  • The text discusses a rare case of a prepyloric gastric muscular ring, which differs from the more commonly documented gastric webs, highlighting a lack of literature on this condition.
  • It notes that most known gastric outlet obstructions in neonates are attributed to pyloric stenosis, leading to a limited consideration of other conditions like muscular rings.
  • The authors suggest that the term "gastric ring" should specify the muscular nature to avoid confusion with submucosal or mucosal types in medical discussions.
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Objective: To explore the application value of transabdominal ultrasonography in the diagnosis of gastrointestinal malignant tumors.

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