Clinical presentation of celiac disease in the pediatric population.
Celiac disease (CD) is an immune-mediated enteropathy triggered by the ingestion of gluten-containing grains (including wheat, rye, and barley) in genetically susceptible individuals. CD is associated with HLA molecules DQ2 (90%-95%) and DQ8 (5%-10%), and in the continued presence of gluten the disease is self-perpetuating. CD is one of the most common lifelong disorders worldwide and is characterized by a variety of clinical presentations. These include the typical malabsorption syndrome (classic symptoms) and a spectrum of symptoms potentially affecting any organ or body system (nonclassic symptoms). Because CD often is atypical or even clinically silent, many cases go undiagnosed and are exposed to the risk of long-term complications. There is growing interest in the social aspects of CD because the burden of illness related to this condition is doubtless higher than previously thought.
Fasano
Alessio
A
Mucosal Biology Research Center and Center for Celiac Research, University of Maryland, School of Medicine, Baltimore, Maryland 21201, USA. afasano@MBRC.UMARYLAND.EDU
D000293:Adolescent; D017668:Age of Onset; D000855:Anorexia / Q000209:etiology; D001327:Autoimmune Diseases; D002446:Celiac Disease / Q000150:complications / Q000175:diagnosis* / Q000473:pathology*; D002648:Child; D002657:Child Development; D002675:Child, Preschool; D003967:Diarrhea / Q000209:etiology; D005260:Female; D020022:Genetic Predisposition to Disease; D005983:Glutens / Q000378:metabolism*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012307:Risk Factors; D012720:Severity of Illness Index
D005983:Glutens