Aims. To evaluate rate and number of immigrant children affected by Inflammatory Bowel Diseases; to investigate their family conditions and compliance to therapy; to establish the interval between their arrival in Italy, the onset of the clinical features and time until diagnosis. Patients and Methods. Four immigrant children from a cohort of 134 patients participating in a three-year survey on Inflammatory Bowel Diseases, referred to 21 Italian centres. Their family history was investigated, including the reasons for coming to Italy and their countries of origin. Results. The 4 children studied represented about 3% of the whole patient population (134) with Inflammatory Bowel Diseases. Time until diagnosis in the 3 cases with Crohn's disease ranged from 12 to 18 months, whereas the one patient with Ulcerative Colitis was diagnosed immediately. Therapeutic compliance was satisfactory. Discussion. Although Inflammatory Bowel Diseases is not believed to occur in developing countries, it is found also in immigrants from those areas, and the exceptional presentation in these ethnic groups could be related to a different environmental impact rather than a different genetic susceptibility.
Prevalence and distribution of Inflammatory Bowel Diseases in a group of immigrant children. Is Inflammatory Bowel Diseases incidence increasing also in children coming from developing countries? / Accomando S.; Caserta M.; Fragapane M.L.; Cataldo F.; Carlucci A.; Baldassarre M.; Intini A.C.; De Angelis G.L; Musumeci S.. - In: THE ITALIAN JOURNAL OF PEDIATRICS. - ISSN 1824-7288. - 29 (6)(2003), pp. 411-413.
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