Pediatric celiac disease: A review for non-gastroenterologists
Sean M Bingham1, Michael D Bates1
1Division of Pediatric Gastroenterology and Nutrition, Dayton Children's Hospital, Department of Pediatrics, Boonshoft School of Medicine, Wright State University, One Children's Plaza, Dayton 45404, OH, USA.
Insights
Celiac disease (CD) is a common immune disorder in children. This paper outlines CD symptoms, evaluation, and management strategies for better patient care.
Area of Science:
- Pediatric Gastroenterology
- Immunology
- Clinical Medicine
Background:
- Celiac disease (CD) is a prevalent immune-mediated gastrointestinal disorder affecting children.
- The diverse clinical manifestations of CD necessitate comprehensive understanding.
- Associated co-morbidities and complications require careful monitoring and management.
Purpose of the Study:
- To describe the varied clinical signs and symptoms of celiac disease in children.
- To provide current recommendations for evaluating celiac disease and its related conditions.
- To advocate for a collaborative care model involving primary care and pediatric gastroenterology specialists.
Main Methods:
- Literature review of clinical signs and symptoms of celiac disease.
- Synthesis of current diagnostic and evaluation guidelines.
- Development of recommendations for multidisciplinary care coordination.
Main Results:
- Celiac disease presents with a wide spectrum of gastrointestinal and extra-intestinal symptoms.
- Early and accurate diagnosis is crucial for preventing long-term complications.
- A collaborative approach enhances patient outcomes and management effectiveness.
Conclusions:
- Effective management of pediatric celiac disease requires recognizing its diverse presentations.
- Adherence to updated evaluation guidelines is essential for timely diagnosis and care.
- Integrated care between primary clinicians and pediatric gastroenterologists optimizes the health of children with celiac disease.
Abstract:
Celiac disease (CD) is an immune-mediated gastrointestinal disorder that is relatively common in children. This paper describes the variety of clinical signs and symptoms associated with CD and provides current recommendations for the evaluation of CD and its co-morbidities and complications. The paper makes recommendations for a collaborative approach to care facilitated by primary care clinicians and pediatric gastroenterologists.
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