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. 2005 May 21;5(1):11.
doi: 10.1186/1471-2431-5-11.

Age related clinical features of childhood coeliac disease in Australia

Affiliations

Age related clinical features of childhood coeliac disease in Australia

Monique L Stone et al. BMC Pediatr. .

Abstract

Background: To describe the presenting clinical features of coeliac disease in a single paediatric centre, and to determine if the presenting features vary with age.

Methods: A review was conducted of children who had been referred with clinical suspicion of coeliac disease to the paediatric gastroenterology department of a tertiary paediatric hospital in Sydney, Australia. Coeliac disease was defined using standard histological criteria. Medical records were reviewed retrospectively.

Results: Clinical data were available for 74 cases of proven coeliac disease. Only 9% of patients were less than 2 years of age at diagnosis. Pre-school children (age < 5 years) presented with different symptoms to school children (age > or = 5 years). The most common presenting features in younger children were diarrhoea, irritability and weight loss. However, in older children, abdominal pain was the most common presenting feature.

Conclusion: We found a significant difference in the clinical features of coeliac disease in pre-school compared to school age children.

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Figures

Figure 1
Figure 1
Age at Presentation of Coeliac disease in the cohort of 74 subjects. This figure illustrates the age distribution of the 74 subjects with coeliac disease in this study. Infants less than 2 years of age represented only 12% of the population. 27% of subjects were aged between 4 and 5 years, 36% were aged between 5 and 10 years, 26% were more than 10 years.

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