Caso contributivo
Celiachia e stipsi ostinata: descrizione di un caso clinico
Celiac disease associated with obstinate constipation: a case report
Annalisa Micheli, Valentina Canocchi, Monia Carlini, Cristiano Ciacci, Francesca Macucci, Daniela Pecchi, Flavio Civitelli, Igino Giani
UO di Pediatria, Ospedale Riuniti della Valdichiana Senese-USL 7 Siena, Toscana
Maggio 2014
Abstract
Coeliac disease (CD) may have a variety of differential gastrointestinal or not gastrointestinal presentation. Constipation is a common paediatric gastrointestinal symptom; most of the cases in children are due to functional gastrointestinal disorder and rarely the cause is a specific disease. CD is a rare cause of constipation refractory to conventional medical management. The paper reports a case of a child with history of obstinate constipation that has received the diagnosis of CD. The article describes an unusual clinical presentation of a common condition in children, such as CD. The gluten free diet induced an improvement of intestinal transit time.
Contenuto riservato
Per leggere l'articolo è necessario effettuare il login.
Suggerite dall'AI
Classificazione MeSH
Bibliografia
Rostami NM, Rostami K, Emami MH, Zali MR, Malekzadeh R. Epidemiology of celiac disease in Iran: a review. Middle East J Dig Dis 2011;3:5-12.
Greco L, Errichiello S. Celiachia: dove si nasconde? Medico e Bambino 2001;20(7):437-47.
Ehsani-Ardakani MJ, Rostami Nejad M, Villanacci V, et al. Gastrointestinal and non gastrointestinal presentation in patients with celiac disease. Arch Iran Med 2013;16(2):78-82.
Pelleboer RA, Janssen RL, Deckers-Kocken JM, et al. Celiac disease is overrespresented in patients with constipation. J Pediatr 2012;88(2):173-6.
Egan-Mitchell B, McNicholl B. Constipation in childhood coeliac disease. Arch Dis Child 1072;47(252):238-40.
Frazer AC. The present state of knowledge of the celiac syndrome. J Pediatr 1960;57:262-76.
Stanghellini V, Corinaldesi R, Ghidini C, et al. Reversibility of gastrointestinal motor abnormalities in chronic intestinal pseudo-obstruction. Hepatogastroenterology 1992;39(1):34-8.
Stanghellini V, Camilleri M, Malagelada JR. Cronic idiopatic pseudostruction: clinical and intestinal manometric findings. Gut 1987;28:5-12.
Stanghellini V, Cogliandro RF, de Giorgio R, Barbara G, Salvioli B, Corinaldesi R. Chronic intestinal pseudo-obstruction: manifestations, natural history and management. Neurogastroenterol Motil 2007;19:440-52.
Antonucci A, Fronzoni L, Cogliandro L, et al. Chronic intestinal pseudo-obstruction. World J Gastroenterol 2008;14(10):2953-61.
Borrelli O. La pseudo-ostruzione intestinale cronica. Giornale di Gastroenterologia, Epatologia e Nutrizione Pediatrica. SIGENP 2012;IV-n4.
Menchise AN, Condino AA, Levitt MA, Hebra A, Wilsey MJ. Celiac disease and diabetes mellitus diagnosed in a pediatric patient with Hirschsprung disease. Fetal Pediatr Pathol 2013;31(1):7-12.
Chen AE, Collins J, DougDeen RM, Duignan N, Dunleavy D. Coeliac disease. J Ir Med Assoc 1964;55:128-31.
McNicholl B, Egan B. Jejunal biopsy in celiac disease. Clin Pediatr (Phila) 1968;7:544-52.
Dyer NH, Dawson AM. Malabsorption. Br Med J 1968;2:225-7.
Matta R, Aramouni E, Mouawad P, Diab N. Celiac disease presenting as acute colonic pseudo-obstruction. J Med Liban 2012;60(2):110-2.