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[The schoolchild with celiac disease]
Insights
Celiac disease in children presents with vitamin deficiencies and growth delays. Early diagnosis through absorption studies and jejunal biopsy is crucial, especially in academically high-achieving children with growth discrepancies.
Area of Science:
- Pediatric Gastroenterology
- Nutritional Science
- Clinical Diagnostics
Context:
- Celiac disease (CD) diagnosis in school-aged children (4-14 years) requires understanding clinical presentations.
- This study examines 29 pediatric CD cases, focusing on diagnostic indicators and growth patterns.
Purpose:
- To detail the clinical characteristics and diagnostic findings in a cohort of 29 school-aged children with celiac disease.
- To compare abdominal perimeter variations between celiac children and a healthy control group.
Summary:
- Children with celiac disease exhibited significant vitamin deficiency signs (58.6%) and impaired growth (89.6%).
- Diagnostic tests showed high positivity rates: Van de Kamer (89.3%) and D-Xilosa (76.5%).
- Abdominal perimeter changes were markedly greater in celiac children (avg. 4 cm) compared to controls (avg. 1.51 cm).
Impact:
- Highlights the need for vigilance in diagnosing celiac disease, particularly in children with unexplained growth issues or significant abdominal changes.
- Emphasizes the importance of considering celiac disease in high-achieving students exhibiting growth disparities.
- Provides data on growth patterns and diagnostic markers for pediatric celiac disease management.
Abstract:
These papers present the clinic characteristics of a group of 29 coeliac children in scholarly age comprehended between 4 and 14, 10/12 years of age. These children, 19 boys and 10 girls, have been diagnosed by means of studies of absorption and biopsy of jejunum as an essential element of diagnosis. We signal the reasons that impulsed parents to make consultations and also the clinical observations made. Of these we specially mention the existence of signs of vitamin-deficiency in the skin and mucous membrane in 58.6% of the children and delay ingrowing in weight and stature in 89.6%. Laboratory produced 89.3% of positiveness in the proof of Van de Kamer and 76.5% in the proof of D-Xilosa. The determination of abdominal perimeter being standing and lying had a range of 1.5 cm to 7 cm with an average of 4 cm. A control group of 33 eutrophic pupils (of similar ages) 15 boys and 18 girls was analyzed for these papers. In theses children the abdominal perimeter was determined being standing and lying. This determination produced an average of 1.51 cm of difference and never passed 3 cm. In our conclusions we state the necessity of studying those children who occupy the first places in scholar ranks, specially if their parents are tall or the stature of their brothers as compared shows an unreasonable difference. A graphic of weight and stature was made of coeliac children at the moment of the first biopsy and the evolution of growth of 3 boys and 3 girls in different ages who were coeliac under treatment.