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BMC Pediatrics

, 5:11

First Online: 21 May 2005Received: 02 February 2005Accepted: 21 May 2005


BackgroundTo describe the presenting clinical features of coeliac disease in a single paediatric centre, and to determine if the presenting features vary with age.

MethodsA review was conducted of children who had been referred with clinical suspicion of coeliac disease to the paediatric gastroenterology department of a tertiary paediatric hospital in Sydney, Australia. Coeliac disease was defined using standard histological criteria. Medical records were reviewed retrospectively.

ResultsClinical data were available for 74 cases of proven coeliac disease. Only 9% of patients were less than 2 years of age at diagnosis. Pre-school children age <5 years presented with different symptoms to school children age ≥ 5 years. The most common presenting features in younger children were diarrhoea, irritability and weight loss. However, in older children, abdominal pain was the most common presenting feature.

ConclusionWe found a significant difference in the clinical features of coeliac disease in pre-school compared to school age children.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2431-5-11 contains supplementary material, which is available to authorized users.

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Autor: Monique L Stone - Timothy D Bohane - Kylie E Whitten - Vivienne H Tobias - Andrew S Day


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