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    Chanarin-Dorfman Syndrome: Clinical Features of a Rare Lipid Metabolism Disorder
    (Wiley-Blackwell Publishing, Inc, 2009) Selimoglu, Mukadder Ayse; Esrefoglu, Mukaddes; Gul, Mehmet; Gungor, Serdal; Yildirim, Cigdem; Seyhan, Muammer
    Chanarin-Dorfman syndrome (CDS) is a very rare neutral lipid metabolism disorder with multisystem involvement. In order to not underdiagnose the cases, screening of lipid vacuoles in neutrophils from peripheral blood smears in patients with ichthyosiform erythroderma is needed. Few case reports revealing ultrastructural findings of skin and especially liver in that disorder were observed. Here we discuss clinical and electron microscopic findings of two siblings with CDS.
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    The role of fecal calprotectin and lactoferrin in the diagnosis of necrotizing enterocolitis
    (Lippincott Williams & Wilkins, 2012) Selimoglu, Mukadder Ayse; Temel, Ismail; Yildirim, Cigdem; Ozyalin, Fatma; Aktas, Mumtaz; Karabiber, Hamza
    Background: Early detection of necrotizing enterocolitis can improve the prognosis, however, there is not a reliable laboratory test to detect either newborns at risk for necrotizing enterocolitis development or those at early stages of the disease. Since fecal lactoferrin and fecal calprotectin are inflammatory markers of gastrointestinal diseases, it was hypothesized that both these biomarkers could be successfully used in the diagnosis of necrotizing enterocolitis. Methods: In a prospective study, fecal lactoferrin and fecal calprotectin concentrations of 14 newborns with necrotizing enterocolitis and consecutively admitted 40 healthy preterm, and 23 healthy full-term newborns were measured with enzyme-linked immunosorbent assay technique. Results: Mean fecal lactoferrin and fecal calprotectin were not different between preterm and full-term newborns (p = .235 and p = .845, respectively), or those who were diagnosed with necrotizing enterocolitis or not (p = .545 and p = .968, respectively). Prevalence of necrotizing enterocolitis was 1.51% (14 of 2734). Stage of the disease did not have a statistical effect on mean levels (p = .694 and p = .267, respectively). Mean fecal lactoferrin and fecal calprotectin levels were not different in the case of breast-feeding (p = .623 and p = .792, respectively). Conclusion: Neither fecal lactoferrin nor fecal calprotectin has a role in the identification of necrotizing enterocolitis, especially in early stages of the disease. Further studies on wider necrotizing enterocolitis series are needed for a more definite conclusion. (Pediatr Crit Care Med 2012; 13:452-454)