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Coeliac disease presenting atypically: A much wider spectrum
Avinash Lomash1, Abhinaya Venkatakrishnan2, Meenakshi Bothra3
1PhD Scholar, Genetic Division, Department of Pediatrics, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi, India.
Abstract:
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.
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