Severe iron deficiency anaemia as a manifestation of silent coeliac disease: case report and literature review.
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.
Department of Paediatrics, St Richard's Hospital, Spitalfield Lane, Chichester, W Sussex P019 6SE. siba@doctors.org.uk
Siba P
SP
Paul
T M
TM
Taylor
Penny
P
Barnard
D018798:Anemia, Iron-Deficiency / Q000209:etiology*; D049628:Body Size; D002446:Celiac Disease / Q000150:complications / Q000175:diagnosis* / Q000178:diet therapy; D002675:Child, Preschool; D055050:Diet, Gluten-Free; D005260:Female; D006801:Humans; D010167:Pallor / Q000209:etiology