Document Detail

Severe iron deficiency anaemia as a manifestation of silent coeliac disease: case report and literature review.
MedLine Citation:
PMID:  20518373     Owner:  NLM     Status:  MEDLINE    
Coeliac disease (CD) occurs in individuals sensitive to gluten protein contained in wheat products. It affects at least 1:100 children and may present with extra-intestinal manifestations such as iron deficiency anaemia, short stature and delay in puberty. A case of severe iron deficiency anaemia as a manifestation of CD is described here. There is a need to raise awareness among health professionals about CD and its extra-intestinal presentations. Suspicion of CD should lead to antibody screening tests and positive results should be followed by an intestinal biopsy for a definitive diagnosis. Involvement of a paediatric dietitian is vital in the management of CD and lifelong adherence to a gluten-free diet is necessary. We hope this article leaves the reader with a heightened awareness about CD and will lead to appropriate early referral to the paediatric services.
Siba P Paul; T M Taylor; Penny Barnard
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of family health care     Volume:  20     ISSN:  1474-9114     ISO Abbreviation:  J Fam Health Care     Publication Date:  2010  
Date Detail:
Created Date:  2010-06-03     Completed Date:  2010-07-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101142028     Medline TA:  J Fam Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  56-9     Citation Subset:  N    
Department of Paediatrics, St Richard's Hospital, Spitalfield Lane, Chichester, W Sussex P019 6SE.
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MeSH Terms
Anemia, Iron-Deficiency / etiology*
Body Size
Celiac Disease / complications,  diagnosis*,  diet therapy
Child, Preschool
Diet, Gluten-Free
Pallor / etiology

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