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Telega G, Bennet TR, Werlin S. Emerging new clinical patterns in the presentation of celiac disease. Arch Pediatr Adolesc Med. 2008 Feb; 162(2):164-168.

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Article

Unusual Presentation of Celiac Disease in a Toddler from a Pediatric Surgery Unit

1Department of Pediatric, "Grigore T. Popa" University of Medicine and Pharmacy - Iasi, Romania

2Department of Pharmacology, "Grigore T. Popa" University of Medicine and Pharmacy - Iasi, Romania

3Department of Pediatric Surgery and Orthopedics,"Grigore T. Popa" University of Medicine and Pharmacy - Iasi, Romania


International Journal of Celiac Disease. 2016, Vol. 4 No. 2, 74-76
DOI: 10.12691/ijcd-4-2-8
Copyright © 2016 Science and Education Publishing

Cite this paper:
Laura Mihaela Trandafir, Oana Teslariu, Smaranda Diaconescu, Magda Iorga, Ingrith Miron, Ioan Sârbu, Iulia Carmen Ciongradi. Unusual Presentation of Celiac Disease in a Toddler from a Pediatric Surgery Unit. International Journal of Celiac Disease. 2016; 4(2):74-76. doi: 10.12691/ijcd-4-2-8.

Correspondence to: Smaranda  Diaconescu, Department of Pediatric, "Grigore T. Popa" University of Medicine and Pharmacy - Iasi, Romania. Email: turti23@yahoo.com

Abstract

Celiac disease is an intestinal autoimmune disease induced by the ingestion of gluten proteins (wheat, rye, barley) in genetically susceptible individuals. Celiac disease can present with gastrointestinal or extraintestinal manifestations (malabsorbtion, diarrhea, constipation, liver, skin or bones disorders). We present the case of a 14-months-old girl admitted for altered general condition and symptoms of intestinal occlusion (severe abdominal pain, absence of feces, abdominal distension), with associated severe malnutrition. History revealed chronic diarrhea and a lactose intolerance diagnosed 3 months prior to admission. The biochemical and imaging investigations excluded any acute surgical pathology. The serological tests showed high values of anti-tissue transglutaminase antibodies. The intestinal biopsy confirmed celiac disease. In children with suspicion of intestinal obstruction associated with a history of diarrhea or constipation and failure to thrive, testing for celiac disease should be considered.

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