Diagnostic performance of fecal eosinophil-derived neurotoxin and lipocalin-2 in pediatric inflammatory bowel disease - Scorecard - MDSpire

Evaluating the Diagnostic Efficacy of Fecal Eosinophil-Derived Neurotoxin and Lipocalin-2 in Children with Inflammatory Bowel Disease

  • By

  • Ragaey Ahmad Eid

  • Nada Atteya Fakhry

  • Doaa Mabrouk Ahmed

  • Mahmoud Hodeib

  • July 17, 2026

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Clinical Scorecard: Evaluating the Diagnostic Efficacy of Fecal Eosinophil-Derived Neurotoxin and Lipocalin-2 in Children with Inflammatory Bowel Disease

At a Glance

CategoryDetail
ConditionInflammatory Bowel Disease (IBD)
Key MechanismsInvolves chronic inflammation of the gastrointestinal tract, with biomarkers like fecal eosinophil-derived neurotoxin (fEDN) and lipocalin-2 (LCN-2) being evaluated for diagnostic efficacy.
Target PopulationChildren and adolescents diagnosed with IBD.
Care SettingPediatric Gastroenterology Unit and GIT Endoscopy Unit

Key Highlights

  • IBD includes ulcerative colitis and Crohn’s disease, with rising incidence in pediatric populations.
  • Fecal biomarkers fEDN and LCN-2 are being studied for their potential role in non-invasive diagnosis.
  • Endoscopy remains the gold standard for IBD diagnosis, complemented by histological evaluation.

Guideline-Based Recommendations

Diagnosis

  • Diagnosis of IBD requires clinical presentation, endoscopic evaluation, and histological assessment.

Management

  • Endoscopic and histological evaluations are essential for defining disease severity.

Monitoring & Follow-up

  • Monitoring of fecal biomarkers may support assessment of intestinal inflammation.

Risks

  • Potential limitations of fecal biomarkers include day-to-day variations and lack of specificity for IBD.

Patient & Prescribing Data

Children under 18 years diagnosed with inflammatory bowel disease.

Inclusion criteria focus on patients accepting participation and excluding those with critical health issues.

Clinical Best Practices

  • Utilize a combination of clinical, laboratory, and endoscopic evaluations for accurate diagnosis.
  • Consider the role of fecal biomarkers as complementary tools in assessing IBD.

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