Review on pediatric coeliac disease from a clinical perspective

Wessels, M.; Auricchio, R.; Dolinsek, J.; Donat, E.; Gillett, P.; Marild, K.; ... ; Mearin, M.L. (2022)

Article / Letter to editor

Coeliac disease is an immune-mediated condition characterized by chronic inflammation of the small bowel with villous atrophy driven by gluten ingestion in genetically predisposed individuals. It occurs frequently in both children and adults, affecting 1-4% of the population. The disease is associated with both gastrointestinal and extra-intestinal symptoms related to malabsorption and/or immune activation, and autoantibodies to tissue transglutaminase. Removal of gluten from the diet results in resolution of symptoms and enteropathy in the majority of patients. A good diagnostic work-up is important to avoid unnecessary restrictive diets in children. In this review on pediatric coeliac disease, we address epidemiology including predisposing environmental factors and possible preventive strategies, as well as the clinical presentation, diagnosis and follow-up.

• Coeliac disease
• Children and adolescents
• Epidemiology
• Diagnosis
• Follow-up

• All authors: Wessels, M.; Auricchio, R.; Dolinsek, J.; Donat, E.; Gillett, P.; Marild, K.; Meijer, C.; Popp, A.; Mearin, M.L.
• Date: 2022-01-15
• Journal: European Journal of Pediatrics
• Volume: 181
• Pages: 1785 - 1795
• DOI: doi:10.1007/s00431-022-04379-x
• Link: https://link.springer.com/article/10.1007/s00431-022-04379-x