Clinical manifestations of celiac disease: towards early diagnosis
https://doi.org/10.31146/1682-8658-ecg-188-4-106-115
Abstract
Celiac disease is characterized by significant clinical polymorphism, which makes it difficult to diagnose and postpones the start of pathogenetic treatment, ultimately worsening the prognosis of the disease. In this regard, knowledge of the clinical features and variants of the disease is of paramount importance for an effective diagnostic process. The article discusses various options for the clinical manifestations of celiac disease. The possibility of celiac disease should be borne in mind in patients with: 1. a history and clinical manifestations characteristic of celiac disease; 2. symptoms of celiac disease associated diseases; 3. symptoms that may be a manifestation of atypical celiac disease. Relatives of celiac patients are also at risk. Overweight and constipation do not reject the diagnosis of celiac disease. Taking into account all these circumstances will make it possible to diagnose and begin treatment in a timely manner, reasonably counting on its maximum effectiveness
About the Authors
S. V. Belmer
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Sergey V. Belmer, MD, PhD, DSc, professor at the dept. of hospital paediatrics No 2
1 Ostrovityanova str., Moscow, 117997
M. О. Revnova
St. Petersburg State Paediatric Medical University
Russian Federation
Russian Federation
Maria O. Revnova, MD, PhD, DSc, head of A. F. Tour department of outpatient pediatrics
Litovskaya str., 2, Saint- Petersburg, 194100
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For citations:
Belmer S.V., Revnova M.О. Clinical manifestations of celiac disease: towards early diagnosis. Experimental and Clinical Gastroenterology. 2021;(4):106-115. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-188-4-106-115
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