Review Article

Tufting Enteropathy: A Review of Clinical and Histological Presentation, Etiology, Management, and Outcome

Table 1

Clinical features, gene mutations, and treatments of CTE in reported studies.

StudyYearCTE numberSymptomExtraintestinal symptomsGene mutationNumberTreatmentOutcome

Reifen et al. [13]19943Diarrhea, 2 vomitNANANAPN1 died
Patey et al. [65]19976DiarrheaUnknownNANAUnknownUnknown
Goulet et al. [21]199810DiarrheaNANANAUnknownUnknown
Beck et al. [61]20011DiarrheaNANANAPN, ITxAlive
Cameron and Barnes [59]20031DiarrheaNANANAPNAlive
Field [4]20031Diarrhea, vomitNANANAPN, ITxAlive
El-Matary et al. [18]20071Diarrhea, vomitSkeletal dysplasiaNANAPNAlive
Bird et al. [28]20073DiarrheaChoanal atresia; ophthalmologic, hematologic, and hair abnormalitiesNANAUnknownUnknown
Sivagnanam et al. [7]20085DiarrheaNAEpCAM4PNUnknown
Al-Mayouf et al. [12]20094DiarrheaChronic arthritisEpCAM1PN2 died
Heinz-Erian et al. [2]200916DiarrheaCorneal erosions, hypertelorism, choanal atresia, imperforate anus, rectovaginal fistula, short and brittle hair, and mild psychomotor delaySPINT214PN11 died
Sivagnanam et al. [14]20101Diarrhea, emesisNAEpCAM1PNUnknown
Ko et al. [15]20102Diarrhea, vomitOligoarticular juvenile rheumatoid arthritisEpCAM2PNAlive
Roche et al. [6]201015DiarrheaOphthalmic functional disorders, asymptomatic conjunctival hyperemiaNANAPN, ITxAlive
Salomon et al. [19]201011DiarrheaNAEpCAM7PNUnknown
Sivagnanam et al. [17]20101DiarrheaCholestatic liver diseaseSPINT21PNAlive
Lemale et al. [66]20117DiarrheaNANANAPNAlive
Thoeni et al. [44]20131DiarrheaNAEpCAM1PNAlive
Slae et al. [29]20131DiarrheaChoanal atresia, hyponatremia, and superficial punctate keratitisSPINT21PNDied
Treetipsatit and Hazard [24]20143DiarrheaNAEpCAM2UnknownUnknown
Pêgas et al. [43]20141DiarrheaNAEpCAM1PNAlive
Martin et al. [67]20143DiarrheaUnknownEpCAM2UnknownUnknown
Salomon et al. [16]201457DiarrheaSuperficial punctuated keratitis, choanal atresia, other atresia, dermatological anomalies, and bone malformationsEpCAM
SPINT2
41
12
PN, ITx8 died
Mueller et al. [42]20141DiarrheaNAEpCAM1UnknownUnknown
Ranganathan et al. [62]201417DiarrheaNANANAPN, 5 ITAlive
Haas et al. [22]20162DiarrheaNAEpCAM2PNAlive
d’Apolito et al. [30]20164DiarrheaAnal atresiaEpCAM
SPINT2
3
1
PN, 3 ITx2 died
Tang et al. [9]20161DiarrheaNAEpCAM1PNAlive
Azzopardi et al. [32]20161DiarrheaChronic arthritisEpCAM1PNAlive
AlMahamed and Hammo [41]20174DiarrheaNAEpCAM4PN, 2 ITx2 died
Bodian et al. [26]20172DiarrheaNAEpCAM1PN1 died
Tan et al. [23]20171DiarrheaNAEpCAM1PNAlive
Shakhnovich et al. [25]20181Diarrhea, emesisNAEpCAM1PNAlive
Hirabayashi et al. [31]20181Diarrhea, vomitCleft lip and palate, corneal erosions, optic nerve coloboma, and intermittent exotropiaSPINT21PNAlive
Pathak et al. [60]201917DiarrheaNAEpCAM17PNAlive
Holt-Danborg et al. [52]20193DiarrheaChoanal atresia, enterocutaneous fistula, atrial septal defect, cleft lip and palate, and toe abnormalitiesSPINT23PNAlive
Total204

CTE: congenital tufting enteropathy; PN: parenteral nutrition; ITx: intestinal transplantation.