Anaemia in childhood coeliac disease.

Stevens, D; Harkness, C Blair; Burman, David

doi:10.1136/adc.54.8.648

Cited by 4 publications

(6 citation statements)

References 4 publications

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“…ID anaemia is common in CD [3,13], and our results, demonstrating a prevalence of 31.1% of ID anaemia in CD compared to 5% in control children, are in agreement with these observations. Previous studies have demonstrated that blood loss plays a role in ID anaemia seen in these children [4,9].…”

Section: Discussionsupporting

confidence: 82%

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Faecal occult blood in children with coeliac disease

Shamir¹,

Levine²,

Yalon-Hacohen

et al. 2000

Eur J Pediatr

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Section: Discussionsupporting

confidence: 82%

“…Iron de®ciency (ID) is common in coeliac disease (CD) [3,13], and is the most common cause of anaemia in this disease [15]. Although the major cause is believed to be iron malabsorption [1,4,7], there are few reports in the literature suggesting that gastro-intestinal bleeding may play a role [6,9,14].…”

Section: Introductionmentioning

confidence: 99%

Faecal occult blood in children with coeliac disease

Shamir¹,

Levine²,

Yalon-Hacohen

et al. 2000

Eur J Pediatr

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“…13,54 Two small studies found that folate deficiency is a common finding in children but it does not usually result in anemia. 55,56 More-recent studies have confirmed that folic-acid deficiency continues to be a frequent finding in subjects with newly diagnosed CD and even in adolescents and young adults with CD detected by screening. 44,57,58 Folate deficiency has also been reported in association with DH.…”

Section: Folate Deficiencymentioning

confidence: 98%

Hematologic manifestations of celiac disease

Halfdanarson¹,

Litzow²,

Murray

2006

Blood

318

276

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Celiac disease is a common systemic disorder that can have multiple hematologic manifestations. Patients with celiac disease may present to hematologists for evaluation of various hematologic problems prior to receiving a diagnosis of celiac disease. Anemia secondary to malabsorption of iron, folic acid, and/or vitamin B12 is a common complication of celiac disease and many patients have anemia at the time of diagnosis. Celiac disease may also be associated with thrombocytosis, thrombocytopenia, leukopenia, venous thromboembolism, hyposplenism, and IgA deficiency. Patients with celiac disease are at increased risk of being diagnosed with lymphoma, especially of the T-cell type. The risk is highest for enteropathy-type T-cell lymphoma (ETL) and B-cell lymphoma of the gut, but extraintestinal lymphomas can also be seen. ETL is an aggressive disease with poor prognosis, but strict adherence to a gluten-free diet may prevent its occurrence.

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“…sometimes even in the absence of any gastrointestinal troubles (7). Its frequency, however, appears to vary among the different studies (5,6,8,12). In that by McNeish and Anderson (5) low levels of hemoglobin were found in 75% of patients.…”

Section: Discussionmentioning

confidence: 96%

“…An iron-deficient anemia is often found in children with active CD (3)(4)(5)(6)(7)(8)(9) . sometimes even in the absence of any gastrointestinal troubles (7).…”

Section: Discussionmentioning

confidence: 99%

Iron Deficiency in Children with Celiac Disease

Bonamico,

Vania,

Monti

et al. 1987

J. pediatr. gastroenterol. nutr.

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SummaryTo evaluate the incidence of either evident anemia or a subclinical status of iron deficiency in celiac disease (CD), we studied 80 celiac children aged 6 months to 18 years. They were subdivided into various groups according to morphology of gut mucosa and diet. Only eight of 47 celiac children had an evident anemia at the time of the first peroral bowel biopsy. In addition, 51% of the patients with atrophic mucosa and 56% of the children on a gluten‐containing diet had serum iron levels <50 μg/dl; 35% of patients of both groups had serum ferritin levels <12 μg/L. On the contrary, only a small number of children with normal mucosa on a gluten‐free diet showed a laboratory, subclinical picture of iron deficiency. The results of our study can therefore be summarized in three major items: (a) Low levels of both serum iron and ferritin can frequently be found during active CD. (b) Regular determination of serum iron levels appears to be useful in controlling the state of iron stores in such patients, as well as in deciding whether and when to recommend temporary iron supplementation, (c) Serum ferritin tests did not offer more information than the easier and cheaper serum iron determinations.

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Anaemia in childhood coeliac disease.

Cited by 4 publications

References 4 publications

Faecal occult blood in children with coeliac disease

Faecal occult blood in children with coeliac disease

Hematologic manifestations of celiac disease

Iron Deficiency in Children with Celiac Disease

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