Second globulin fraction on SPEP; elevated by inflammation or disease.
Inflammatory Bowel Disease (IBD)
Inflammatory Bowel Disease (IBD) is a term primarily used to describe two chronic conditions that cause inflammation in the gastrointestinal (GI) tract: Crohn's Disease and Ulcerative Colitis. Both are characterized by an abnormal response of the body's immune system. In IBD, the immune system mistakenly attacks the GI tract, leading to inflammation. The exact cause of this immune response is not fully understood, but it is believed to involve a complex interplay of genetic, environmental, and microbial factors.
Crohn's Disease can affect any part of the GI tract, from the mouth to the anus, but most commonly affects the end of the small bowel (the ileum) and the beginning of the colon. It can affect the entire thickness of the bowel wall. In contrast, Ulcerative Colitis is limited to the colon and rectum and usually only affects the innermost lining of the bowel wall.
Ulcerative Colitis (UC) is a chronic condition affecting the colon and rectum, marked by inflammation and ulceration of the colon's lining. It causes abdominal pain, rectal bleeding, diarrhea, and urgent bowel movements. Differing from Crohn's Disease, UC usually affects the colon continuously. The cause is unclear, but it involves an abnormal immune response in genetically susceptible people. Treatment includes anti-inflammatory and immunosuppressive drugs, with surgery in severe cases. The severity of UC varies, significantly impacting quality of life.
Symptoms of IBD can vary but often include severe diarrhea, pain, fatigue, and weight loss. IBD can be debilitating and sometimes leads to life-threatening complications. While there is currently no cure, treatment options have evolved significantly. These include anti-inflammatory drugs, immune system suppressors, biologics targeting specific components of the immune system, and sometimes surgery. The goal of treatment is to reduce the inflammation that triggers the symptoms, thereby improving quality of life and preventing complications.
Recent research in IBD focuses on understanding the role of gut microbiota, genetic markers, and environmental factors in the development and progression of the disease. This research is critical as it paves the way for personalized medicine approaches, potentially allowing for treatments that are tailored to the individual characteristics of each patient's disease.
References:
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McDowell C, Farooq U, Haseeb M. Inflammatory Bowel Disease. 2023 Aug 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 29262182. [L]
Tavakoli P, Vollmer-Conna U, Hadzi-Pavlovic D, Grimm MC. A Review of Inflammatory Bowel Disease: A Model of Microbial, Immune and Neuropsychological Integration. Public Health Rev. 2021 May 5;42:1603990. doi: 10.3389/phrs.2021.1603990. PMID: 34692176; PMCID: PMC8386758. [L]
M'Koma AE. Inflammatory Bowel Disease: Clinical Diagnosis and Surgical Treatment-Overview. Medicina (Kaunas). 2022 Apr 21;58(5):567. doi: 10.3390/medicina58050567. PMID: 35629984; PMCID: PMC9144337. [L]
Cai Z, Wang S, Li J. Treatment of Inflammatory Bowel Disease: A Comprehensive Review. Front Med (Lausanne). 2021 Dec 20;8:765474. doi: 10.3389/fmed.2021.765474. PMID: 34988090; PMCID: PMC8720971. [L]
Elhag DA, Kumar M, Saadaoui M, Akobeng AK, Al-Mudahka F, Elawad M, Al Khodor S. Inflammatory Bowel Disease Treatments and Predictive Biomarkers of Therapeutic Response. Int J Mol Sci. 2022 Jun 23;23(13):6966. doi: 10.3390/ijms23136966. PMID: 35805965; PMCID: PMC9266456. [L]
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Biomarkers related to this condition
22 markers commonly used to screen, diagnose, or monitor Inflammatory Bowel Disease (IBD)
Microbial enzyme reflecting gut detoxification and microbiome metabolic activity.
Immature form of white blood cells
a type of white blood cell
White blood cell type measured as percentage of total leukocytes.
A liver protein that rises when there is inflammation.
Serum immune test measuring total complement system activity level.
Immune cell measured on CBC; high may signal allergy or parasites.
Mucosal immune antibody measuring gut barrier defence in stool.
Total IgA antibody concentration in serum (quantitative)
White blood cells fighting infection
Type of White Blood Cell
Mixed white blood cells percentage in blood
reflects variability in platelet size
Percentage of large platelets in blood; part of CBC platelet indices.
Platelet volume percentage in blood
Red blood cells seen in a stool microscopy sample.
Mucosal immune antibody measuring gut immune defense activity in stool.
pH level of feces
Opportunistic gut bacteria reported as an overgrowth marker on GI-MAP.
Celiac antibody test; IgG class; secondary to TTG IgA.
Pyridoxal 5-phosphate (PLP) level in plasma