Coeliac disease presenting atypically: A much wider spectrum

被引:2
|
作者
Lomash, Avinash [1 ]
Venkatakrishnan, Abhinaya [2 ]
Bothra, Meenakshi [2 ]
Dhingra, Bhavna [3 ]
Kumar, Praveen [4 ]
Kapoor, Seema [1 ]
机构
[1] Lok Nayak Hosp, Maulana Azad Med Coll, Dept Pediat, Genet Div, New Delhi, India
[2] Lok Nayak Hosp, Maulana Azad Med Coll, Dept Pediat, New Delhi, India
[3] All India Inst Med Sci, Dept Pediat, Bhopal, India
[4] Sucheta Kriplani Hosp, Dept Pediat, Lady Hardinge Med Coll, New Delhi, India
关键词
Atypical presentation; spectrum; subclinical celiac disease;
D O I
10.1177/0049475521991348
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Atypical coeliac disease in young children is frequently missed when it presents atypically as non-gastrointestinal presentations to different specialties. There was a greater delay (54 months) in establishing the diagnosis in those with atypical coeliac disease (p < 0.001). No difference was observed in the mode of delivery or duration of breast feeding, but significant difference was observed between gestational age at birth (p < 0.001). Most cases showed stunted growth and underweight. Irritability, anaemia, rickets, dermatitis herpetiformis, alopecia and intussusception were other common predictors of atypical coeliac disease. Because of a myriad spectrum of non-gastrointestinal symptoms, at any age with diverse presentation, a high index of suspicion is therefore required.
引用
收藏
页码:309 / 314
页数:6
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