Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1378
2
1
gregorian
1999
5
1
13
1
online
1
fulltext
en
CLINICAL MANIFESTATIONS AND DIAGNOSIS OF CELIAC DISEASE IN CHILDREN
Pediatric
Pediatric
Original Research
Original Research
Celiac disease (CD) is defined as a permanent intolerance to gluten with clinical manifestations and abnormal small intestinal mucosa. A case series study was performed to obtain information about clinical manifestations, age of presentation and diagnosis of CD. For this purpose, hospital records of patients who were admitted to the gastrointestinal ward in the Children's Medical Center from 1986 to 1996 with suspected diagnosis of CD and discharged with such a diagnosis were reviewed. Thirty-five patients (17 male, 18 female) with diagnostic criteria for CD were selected and followed, The average age of onset was 3.07 years but mean age of diagnosis (the first small intestinal biopsy) was 7.7 years. The most common symptom was chronic diarrhea. The interval between initial symptoms and diagnosis was surprisingly long. During this period these subjects had multiple medical visits at different hospitals. With recognition of this treatable disorder and by available diagnostic procedures and obtaining small intestinal biopsy specimens, we can reduce the mentioned interval and diagnose this entity earlier in Iranian children.
Celiac disease. Gluten, Children
33
36
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-420&slc_lang=en&sid=1
MR
ESMAILI DUKI
20031947532846005819
20031947532846005819
No
GR
KHATAMI
20031947532846005820
20031947532846005820
Yes
From the Department of Pediatrics, Gastroenterology Division, Children's Medical Center, TehrOl1 University of Medical Sciences, Tehran, Islamic Republic of Iran.
M
NAJAFI
20031947532846005821
20031947532846005821
No
A
KHODADAD
20031947532846005822
20031947532846005822
No