Vol 40: Late diagnosis of celiac disease in an asymptomatic infant with growth failure.Report as inadecuate



 Vol 40: Late diagnosis of celiac disease in an asymptomatic infant with growth failure.


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This article is from Italian Journal of Pediatrics, volume 40.AbstractThe clinical spectrum for celiac disease CD is broad and includes cases with either typical intestinal or atypical extraintestinal features, often making the diagnosis of CD very difficult.We describe the case of a girl presenting with stunted growth and malnourishment. She was evaluated at 14 months for decreased growth rate without any signs of gastrointestinal, renal or endocrine disorders. She was evaluated for CD, but resulted negative for anti-tTG antibodies.At the age of 4.1 years, she exhibited basal dental enamel hypoplasia, iron deficiency anaemia despite repeated iron supplementation, with persistent reduced height -2.79 SDS, BMI -0.76 SDS, growth velocity -1.79 SDS and delayed bone age 1.5 year. The CD screening was repeated and very high anti-tTG-IgA 128 IU-ml, normal values 



Author: Bozzola, Mauro; Bozzola, Elena; Pagani, Sara; Mascolo, Amelia; Porto, Rossella; Meazza, Cristina

Source: https://archive.org/







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