Prevalence of celiac disease in Brazilian children of short stature

The aim of the present study was to determine the prevalence of celiac disease in children of short stature and to assess whether some of the routine laboratory examinations performed to determine the cause of short stature could suggest the presence of celiac disease. A total of 106 children of sho...

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Main Authors: M.S. Queiroz, M. Nery, E.L. Cançado, D. Gianella-Neto, B. Liberman
Format: Article
Language:English
Published: Associação Brasileira de Divulgação Científica 2004-01-01
Series:Brazilian Journal of Medical and Biological Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2004000100008
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author M.S. Queiroz
M. Nery
E.L. Cançado
D. Gianella-Neto
B. Liberman
author_facet M.S. Queiroz
M. Nery
E.L. Cançado
D. Gianella-Neto
B. Liberman
author_sort M.S. Queiroz
collection DOAJ
description The aim of the present study was to determine the prevalence of celiac disease in children of short stature and to assess whether some of the routine laboratory examinations performed to determine the cause of short stature could suggest the presence of celiac disease. A total of 106 children of short stature and no gastrointestinal symptoms were studied. An extensive endocrine work-up had been negative for all of them and an additional investigation was performed by measuring the concentration of antiendomysial antibody. Patients who were positive for antiendomysial antibody ( > or = 1:10) or who exhibited IgA deficiency (less than 5 mg/dl) were referred for an endoscopic intestinal biopsy. We detected a pathological titer of antiendomysial IgA in six of these patients. Five of them showed histological abnormalities compatible with celiac disease and one had normal histology and was considered to have potential celiac disease. The prevalence of celiac disease in the population studied was 4.7% (with another 0.9% of the subjects being considered to have potential celiac disease). The children with celiac disease did not differ in any of the parameters tested when compared to those without celiac disease, though they showed an improvement in growth velocity after treatment with a gluten-free diet. We conclude that it is important to test all children with short stature for celiac disease by measuring antiendomysial IgA.
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spelling doaj.art-df6cb0787e4e43c09562d4b06b5367b22022-12-22T00:55:04ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research0100-879X1414-431X2004-01-01371556010.1590/S0100-879X2004000100008Prevalence of celiac disease in Brazilian children of short statureM.S. QueirozM. NeryE.L. CançadoD. Gianella-NetoB. LibermanThe aim of the present study was to determine the prevalence of celiac disease in children of short stature and to assess whether some of the routine laboratory examinations performed to determine the cause of short stature could suggest the presence of celiac disease. A total of 106 children of short stature and no gastrointestinal symptoms were studied. An extensive endocrine work-up had been negative for all of them and an additional investigation was performed by measuring the concentration of antiendomysial antibody. Patients who were positive for antiendomysial antibody ( > or = 1:10) or who exhibited IgA deficiency (less than 5 mg/dl) were referred for an endoscopic intestinal biopsy. We detected a pathological titer of antiendomysial IgA in six of these patients. Five of them showed histological abnormalities compatible with celiac disease and one had normal histology and was considered to have potential celiac disease. The prevalence of celiac disease in the population studied was 4.7% (with another 0.9% of the subjects being considered to have potential celiac disease). The children with celiac disease did not differ in any of the parameters tested when compared to those without celiac disease, though they showed an improvement in growth velocity after treatment with a gluten-free diet. We conclude that it is important to test all children with short stature for celiac disease by measuring antiendomysial IgA.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2004000100008Celiac diseaseShort statureAntiendomysial antibodyGrowth failureCeliac sprue
spellingShingle M.S. Queiroz
M. Nery
E.L. Cançado
D. Gianella-Neto
B. Liberman
Prevalence of celiac disease in Brazilian children of short stature
Brazilian Journal of Medical and Biological Research
Celiac disease
Short stature
Antiendomysial antibody
Growth failure
Celiac sprue
title Prevalence of celiac disease in Brazilian children of short stature
title_full Prevalence of celiac disease in Brazilian children of short stature
title_fullStr Prevalence of celiac disease in Brazilian children of short stature
title_full_unstemmed Prevalence of celiac disease in Brazilian children of short stature
title_short Prevalence of celiac disease in Brazilian children of short stature
title_sort prevalence of celiac disease in brazilian children of short stature
topic Celiac disease
Short stature
Antiendomysial antibody
Growth failure
Celiac sprue
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2004000100008
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AT dgianellaneto prevalenceofceliacdiseaseinbrazilianchildrenofshortstature
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