title: Celiac disease in toddler with atypical onset. Case report.
abstract: Celiac disease is a chronic immune-mediated disorder induced in genetically susceptible individuals after ingestion of gluten proteins. An early diagnosis is of highest importance. Ultrasound might show small-bowel intussusception. We present a toddler with one month history of diarrhea and abdominal ultrasound showing ileo-ileal intussusception. Specific serological markers for celiac disease were positive. The duodenal endoscopy showed normal architecture but pathology indicated fully developed celiac disease (Marsh 3c). In conclusion, toddlers, who have even a short history of diarrhea with ultrasound showing ileo-ileal intussusception, can be suspected of celiac disease by positive serologic markers and can be confirmed by duodenal biopsy and pathology.
authors.affiliation: 3rd Pediatric Department, "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania. iacobdaniela777@gmail.com.
authors.forename: Daniela
authors.initials: D
authors.lastname: Iacob
authors.affiliation: 3rd Pediatric Department, "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.
authors.forename: Otilia
authors.initials: O
authors.lastname: Fufezan
authors.affiliation: 3rd Pediatric Department, "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.
authors.forename: Dorin
authors.initials: D
authors.lastname: Farcău
authors.affiliation: IInd Pediatric Department, "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Samaşcă
authors.affiliation: Infectious Disease Department, "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.
authors.forename: Adriana
authors.initials: A
authors.lastname: Slavcovici
authors.affiliation: Pathology Department, "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.
authors.forename: Dan
authors.initials: D
authors.lastname: Gheban
mesh_terms: D001706:Biopsy / Q000379:methods; D002446:Celiac Disease / Q000000981:diagnostic imaging* / Q000473:pathology*; D003937:Diagnosis, Differential; D018450:Disease Progression; D004386:Duodenum / Q000000981:diagnostic imaging* / Q000473:pathology*; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D006801:Humans; D007223:Infant; D008297:Male; D014463:Ultrasonography / Q000379:methods*