Review of celiac disease in the pediatric population

Celiac disease (CD) is a chronic autoimmune disease triggered by the ingestion of gluten in genetically predisposed individuals, primarily those with HLA-DQ2 and HLA-DQ8 haplotypes. The global prevalence of CD ranges from 0.5% to 1%. Recent advances in diagnostic methods and raising awareness of thi...

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Main Authors: Aleksandra Strawińska, Maria Wydro, Magdalena Grotowska, Martyna Łukasiewicz
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-01-01
Series:Quality in Sport
Subjects:
Online Access:https://apcz.umk.pl/QS/article/view/57703
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author Aleksandra Strawińska
Maria Wydro
Magdalena Grotowska
Martyna Łukasiewicz
author_facet Aleksandra Strawińska
Maria Wydro
Magdalena Grotowska
Martyna Łukasiewicz
author_sort Aleksandra Strawińska
collection DOAJ
description Celiac disease (CD) is a chronic autoimmune disease triggered by the ingestion of gluten in genetically predisposed individuals, primarily those with HLA-DQ2 and HLA-DQ8 haplotypes. The global prevalence of CD ranges from 0.5% to 1%. Recent advances in diagnostic methods and raising awareness of this disorder have improved detection rates, but many cases remain undiagnosed due to the disease's multifaceted presentation. CD can manifest with a wide range of symptoms, including both gastrointestinal and extraintestinal signs. In smaller children common symptoms include mainly chronic or intermittent abdominal pain, abdominal distension, diarrhea and constipation. Older children and adolescent patients may frequently present atypical, vague symptoms such as fatigue, failure to thrive, weight loss, short stature, behavioral changes and anemia. Diagnosis involves primarily serological tests in patients presenting symptoms or in patients with high-risk of developing CD. A strict gluten-free diet is the principal treatment and it is highly effective in managing symptoms and promoting intestinal healing. In this paper, we will analyze epidemiology of CD, its pathogenesis, heterogeneous clinical presentation, the diagnostic process and treatment based on recent guidelines and literature.
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institution Kabale University
issn 2450-3118
language English
publishDate 2025-01-01
publisher Nicolaus Copernicus University in Toruń
record_format Article
series Quality in Sport
spelling doaj-art-f324b334b776470dae3512147ce8734c2025-01-28T08:25:05ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-01-013710.12775/QS.2025.37.57703Review of celiac disease in the pediatric populationAleksandra Strawińska0https://orcid.org/0009-0009-6100-9766Maria Wydro1https://orcid.org/0009-0009-6397-0737Magdalena Grotowska2https://orcid.org/0009-0002-2812-7639Martyna Łukasiewicz3https://orcid.org/0000-0002-8816-1030Mikołaj Kopernik Hospital in Gdańsk, PolandSzpital św. Wincentego a Paulo ul. Wójta Radtkego 1, 83-348 Gdynia, PolandMikołaj Kopernik Hospital in Gdańsk ul. Nowe Ogrody 1-6, 80 - 803 Gdańsk, Poland University Clinical Centre in Gdańsk ul. Smoluchowskiego 17, Gdańsk, PolandCeliac disease (CD) is a chronic autoimmune disease triggered by the ingestion of gluten in genetically predisposed individuals, primarily those with HLA-DQ2 and HLA-DQ8 haplotypes. The global prevalence of CD ranges from 0.5% to 1%. Recent advances in diagnostic methods and raising awareness of this disorder have improved detection rates, but many cases remain undiagnosed due to the disease's multifaceted presentation. CD can manifest with a wide range of symptoms, including both gastrointestinal and extraintestinal signs. In smaller children common symptoms include mainly chronic or intermittent abdominal pain, abdominal distension, diarrhea and constipation. Older children and adolescent patients may frequently present atypical, vague symptoms such as fatigue, failure to thrive, weight loss, short stature, behavioral changes and anemia. Diagnosis involves primarily serological tests in patients presenting symptoms or in patients with high-risk of developing CD. A strict gluten-free diet is the principal treatment and it is highly effective in managing symptoms and promoting intestinal healing. In this paper, we will analyze epidemiology of CD, its pathogenesis, heterogeneous clinical presentation, the diagnostic process and treatment based on recent guidelines and literature. https://apcz.umk.pl/QS/article/view/57703celiac diseaseceliac disease guidelinesdiagnosis of celiac diseasegluten-free diet
spellingShingle Aleksandra Strawińska
Maria Wydro
Magdalena Grotowska
Martyna Łukasiewicz
Review of celiac disease in the pediatric population
Quality in Sport
celiac disease
celiac disease guidelines
diagnosis of celiac disease
gluten-free diet
title Review of celiac disease in the pediatric population
title_full Review of celiac disease in the pediatric population
title_fullStr Review of celiac disease in the pediatric population
title_full_unstemmed Review of celiac disease in the pediatric population
title_short Review of celiac disease in the pediatric population
title_sort review of celiac disease in the pediatric population
topic celiac disease
celiac disease guidelines
diagnosis of celiac disease
gluten-free diet
url https://apcz.umk.pl/QS/article/view/57703
work_keys_str_mv AT aleksandrastrawinska reviewofceliacdiseaseinthepediatricpopulation
AT mariawydro reviewofceliacdiseaseinthepediatricpopulation
AT magdalenagrotowska reviewofceliacdiseaseinthepediatricpopulation
AT martynałukasiewicz reviewofceliacdiseaseinthepediatricpopulation