Celiac Disease in Children

Pediatr Clin North Am. 2021 Dec;68(6):1205-1219. doi: 10.1016/j.pcl.2021.07.007.

Abstract

Celiac disease is an autoimmune enteropathy triggered by the ingestion of gluten in genetically susceptible individuals. In patients with suspected celiac disease, measurement of serum IgA antibodies to tissue transglutaminase-2 has a high sensitivity and specificity and is the first screening test that should be ordered. The diagnosis of celiac disease is based on the presence of mucosal damage in small intestinal biopsies in patients having circulating celiac disease-specific antibodies. Celiac disease management includes lifelong adherence to a gluten-free diet and continuous long-term follow-up.

Keywords: Celiac disease; Gluten-free diet; Other gluten-related conditions; Symptoms of celiac disease; Tissue transglutaminase-2 test.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Biopsy / methods
  • Celiac Disease / diagnosis*
  • Celiac Disease / diet therapy*
  • Celiac Disease / epidemiology
  • Celiac Disease / immunology
  • Child
  • Child, Preschool
  • Diet, Gluten-Free / methods
  • Female
  • Glutens / immunology
  • Humans
  • Immunoglobulin A / blood
  • Infant
  • Intestinal Mucosa / pathology
  • Intestines / pathology
  • Male
  • Protein Glutamine gamma Glutamyltransferase 2 / immunology

Substances

  • Immunoglobulin A
  • Glutens
  • Protein Glutamine gamma Glutamyltransferase 2