Clinical characteristics in children with celiac disease: a single center results
Journal Title: JOURNAL OF CONTEMPORARY MEDICINE - Year 2017, Vol 7, Issue 4
Abstract
AbstractAim: Celiac disease is an immune-mediated systemic disorder elicited by the ingestion of gluten in genetically susceptible individuals. Gluten-free diet is the basis of treatment. In our study, it was aimed to evaluate the clinical findings of our patients with celiac disease before and after treatment.Materials and Methods: The files of patients with celiac disease followed by pediatric gastroenterology outpatient clinic between 2012-2017 were reviewed retrospectively. Before and after gluten-free diet clinical characteristics (complaints, findings, body weight-height measurements and laboratory results) of patients were recorded. Before and after gluten-free diet clinical and laboratory findings of patients were compared.Results: The mean age of the 80 patients who were included in the study was 7.4 ± 4.3 and 49 were girls. Six of the 80 patients (7.5%) had a family history of celiac disease. The most common complaint among our patients was growth failure. However, 6 patients (7.5%) were overweight and 2 patients (2.5%) were obese. Before the treatment 25 (31.3%) of the patients were chronic malnutrition. There was no significant correlation between diagnosis age and malnutrition (mild, moderate, severe) of celiac disease. Chronic diarrhea was present in 21 (26.3%) of the patients. However, 17 (21.3%) of the patients had constipation. Anemia was present in 26 (32.5%) of the patients. Clinical and laboratory findings improved significantly after gluten-free diet. Conclusion: Growth retardation and chronic diarrhea are findings suggestive of celiac disease. However, it should be remembered that celiac patients may also be exposed to overweight, obese, constipation, or various other findings. The treatment of the disease is a lifelong gluten-free diet. For this reason, it is important to educate patients and their parents to maintain a gluten-free diet.
Authors and Affiliations
Halil Haldun Emiroğlu, Melike Emiroğlu, Hikmet Akbulut, Ahmet Eryılmaz, Rumeysa Olcay Bayram, Ayşe Yüksel, Mehmet Akif Ağır
Keywords
Related Articles
- EP ID EP423350
- DOI 10.16899/gopctd.358797
- Views 116
- Downloads 0
Resuming Breastfeeding: Relactation
Lactation is production and secretion of breast milk. It is a known fact that breast milk is unique nutrient for babies to support the development of the baby properly. It is important that there should be no breastfeedi...
Early Fasciotomy due to Compartment Syndrome with Gradual Recovery of Nerve Function
Abstract The incidence of gunshot wounds reported in the literatureare is higher than those reported for motor vehicle accidents, sports injuries, or industrial accidents. Vascular trauma of the lower extremities may le...
Our tracheostomy experiences in intensive care; 103 cases
Objective: In this study we aimed to present the early complications of the percutaneous tracheotomies with Griggs technique in our intensive care unit.Materials and Methods: In this study , we investigated 103 patients....
Hemşirelerin ağrı değerlendirmesine ilişkin tutum ve uygulamaları
Amaç: Bu araştırma hemşirelerin ağrı ölçeğini kullanımına ilişkin tutum ve uygulamaları belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntem: Tanımlayıcı tipteki araştırmanın örneklemini araştırmaya gönüllü olarak katılan...
Childhood Testicular Tumors
ObjectiveTesticular tumors are rare in childhood In this study, it was aimed evaluate our patients with testicular tumor.Patients and methodsTwenty patients had been evaluated between 2006- 2016 in terms of age, presenti...