Different Clinical Presentations of Celiac Disease in Children

Iqra Naheed; Rashid Nawaz; Hina Umbreen; Uzma Yasmeen

doi:10.70749/ijbr.v1i2.1828

Authors

Iqra Naheed Department of Pediatrics, DHQ Hospital, Faisalabad, Punjab, Pakistan.
Rashid Nawaz Department of Pediatrics, DHQ Hospital, Faisalabad, Punjab, Pakistan.
Hina Umbreen Department of Pediatrics, DHQ Hospital, Faisalabad, Punjab, Pakistan
Uzma Yasmeen Department of Pediatrics, DHQ Hospital, Faisalabad, Punjab, Pakistan

DOI:

https://doi.org/10.70749/ijbr.v1i2.1828

Keywords:

Celiac Disease, Clinical Presentation, Gastrointestinal Symptoms.

Abstract

Objective: To determine the frequency of different clinical presentations in children having celiac disease. Study design: Cross sectional validation study. Settings: Department of Pediatrics, DHQ Hospital, Faisalabad. Study duration: April 21, 2024 to October 20, 2024. Materials and Procedures: This study included both male and female patients with celiac disease whose ages ranged from 1 to 14 years: Exclusion criteria were giardiasis, immunodeficiency, growth hormone deficit, IBD, abdominal TB, infective gastroenteritis, cystic fibrosis, primary malnutrition, and chronic kidney disease. The pathologist reported that a blood sample was sent to the hospital's pathology laboratory to estimate the ferritin level. With a dermatologist's opinion, dermatitis herpartiformis was evaluated. The patient or parent was asked about their stool history. The following conditions were evaluated: failure to thrive, dermatitis herpetiformis, iron deficiency anemia, and chronic diarrhea. Results: Following clinical presentations were common among children with celiac disease: iron deficiency anemia in 39 (43.33%), failure to thrive in 29 (32.22%), dermatitis herpetiformis in 22 (24.44%), short stature in 24 (26.67%), and chronic diarrhea in 43 (47.78%) patients. Conclusion: In this study, diarrhea, iron deficiency anemia, and failure to thrive were the most prevalent symptoms that children with celiac disease presented with.

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