Official publication of Rawalpindi Medical University
Clinical Presentations of Coeliac Disease in Children from 2 to 14 Years
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How to Cite

1.
Mahwish Rabia , Samiya Naeemullah,M Tariq Baqai, Asma Shabbir. Clinical Presentations of Coeliac Disease in Children from 2 to 14 Years. JRMC [Internet]. 2012 Dec. 30 [cited 2024 Mar. 29];16(2). Available from: http://journalrmc.com/index.php/JRMC/article/view/562

Abstract

Background: To study presentations of childhood
coeliac disease (CD) in different paediatric age groups .
Methods:This descriptive study was conducted on two
hundred patients of either sex from two to fourteen years
of age with suspicion of CD. Anti-endomysial titres
(EMA ) were done in all the patients. Those with positive
EMA titres were subjected to endoscopy. Biopsy was
taken for confirmation of CD.
Results: Out of two hundred patients seen, forty
patients fulfilled the diagnostic criteria of CD. Mean age
at presentation was eight years. Mean duration of
symptomatology was 6.5 years. Male to female ratio was
1.6:1. Out of forty patients ,32% presented with chronic
diarrhea, 22.5% with short stature. Iron deficiency
anaemia was found in 20% and abdominal pain in 14.5%.
Family history was positive in 4.55% patients.
Conclusion: Younger children present with intestinal
manifestation of CD like chronic diarrhoea. Older
children usually have extra- intestinal manifestations like
short stature, iron deficiency anemia, abdominal pain and
failure to thrive.

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