Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Coexistence of Excessive Weight Gain and Celiac Disease in Children: An Unusual Familial Condition

  • Calcaterra, Valeria (Pediatrics and Adolescentology Unit, Department of Internal Medicine, University of Pavia) ;
  • Regalbuto, Corrado (Pediatrics and Adolescentology Unit, Department of Internal Medicine, University of Pavia) ;
  • Made, Alexandra (Pediatrics and Adolescentology Unit, Department of Internal Medicine, University of Pavia) ;
  • Magistrali, Mariasole (Pediatrics and Adolescentology Unit, Department of Internal Medicine, University of Pavia) ;
  • Leonard, Maureen M. (Mass General Hospital for Children, Harvard Medical School) ;
  • Cena, Hellas (Clinical Nutrition and Dietetics Service, Unit of Internal Medicine and Endocrinology, ICS Maugeri IRCCS)
  • Received : 2018.08.18
  • Accepted : 2018.10.02
  • Published : 2019.07.15
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Abstract

Excessive weight gain in children diagnosed with celiac disease (CD) is becoming more common. We describe 2 siblings (9-year and 6 months-old female and 6-year and 9 months-old male) with obesity showing attenuated gastrointestinal and atypical symptoms in which CD was diagnosed in the absence of a known family history of CD. After children's diagnosis, CD in their parents was also investigated. It was detected in their father affected by overweight. The presentation of patients with CD has changed. While patients with overweight and obesity commonly have symptoms such as abdominal pain, reflux, headache, and constipation due to lifestyle factors, CD should also be considered in patients with or without a family history of CD. Careful nutritional status assessment and follow-up monitoring after the diagnosis of CD are mandatory, especially in subjects who are already overweight at the presentation of this disease.

Keywords

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