E-ISSN 1858-8360 | ISSN 0256-4408
 

Review Article 


Coeliac disease in children: the need to improve awareness in resource-limited settings

Siba Prosad Paul, Lauren Katie Stanton, Helen Louise Adams, Dharamveer Basude.

Abstract
Coeliac disease (CD) is an immune-mediated systemic disorder caused by the ingestion of gluten. In children, it may present with intestinal or extra-intestinal manifestations such as diarrhoea, weight loss, iron deficiency anaemia or faltering growth. Diagnosis is confirmed by small bowel biopsies showing histological changes consistent with enteropathy. In 2012, the European Society for Paediatric Gastroenterology, Hepatology and Nutrition revised the CD guidelines and suggested that, in a selective group of symptomatic children, CD can be diagnosed without the need for smallbowel biopsies. Management of CD is through strict adherence to a life-long gluten-free diet (GFD). CD is of great public health significance as its prevalence in developing countries has been found to be similar to that in developed countries. Early recognition and treatment improves prognosis. Patients and families require long term support to enable effective adherence to a GFD lifestyle. This alone can be challenging, but through support of health professionals and dietitians, can improve patient outcomes. In resource-limited settings medical professionals need to be creative in formulating cheaper and locally sourced gluten free options in close cooperation with the dietitians thereby ensuring availability of gluten free food items at affordable prices. In this paper, we gave an overview of the subject followed by authors’ view to emphasize the need for improved awareness in resource-limited settings.

Key words: Anti-tTG; Coeliac disease; Enteropathy; DQ2 and DQ8 haplotypes; Resource-limited countries.


 
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How to Cite this Article
Pubmed Style

Paul SP, Stanton LK, Adams HL, Basude D. Coeliac disease in children: the need to improve awareness in resource-limited settings. Sudan J Paed. 2019; 19(1): 6-13. doi:10.24911/SJP.106-1549488256


Web Style

Paul SP, Stanton LK, Adams HL, Basude D. Coeliac disease in children: the need to improve awareness in resource-limited settings. http://www.sudanjp.com/?mno=30104 [Access: August 17, 2019]. doi:10.24911/SJP.106-1549488256


AMA (American Medical Association) Style

Paul SP, Stanton LK, Adams HL, Basude D. Coeliac disease in children: the need to improve awareness in resource-limited settings. Sudan J Paed. 2019; 19(1): 6-13. doi:10.24911/SJP.106-1549488256



Vancouver/ICMJE Style

Paul SP, Stanton LK, Adams HL, Basude D. Coeliac disease in children: the need to improve awareness in resource-limited settings. Sudan J Paed. (2019), [cited August 17, 2019]; 19(1): 6-13. doi:10.24911/SJP.106-1549488256



Harvard Style

Paul, S. P., Stanton, . L. K., Adams, . H. L. & Basude, . D. (2019) Coeliac disease in children: the need to improve awareness in resource-limited settings. Sudan J Paed, 19 (1), 6-13. doi:10.24911/SJP.106-1549488256



Turabian Style

Paul, Siba Prosad, Lauren Katie Stanton, Helen Louise Adams, and Dharamveer Basude. 2019. Coeliac disease in children: the need to improve awareness in resource-limited settings. Sudanese Journal of Paediatrics, 19 (1), 6-13. doi:10.24911/SJP.106-1549488256



Chicago Style

Paul, Siba Prosad, Lauren Katie Stanton, Helen Louise Adams, and Dharamveer Basude. "Coeliac disease in children: the need to improve awareness in resource-limited settings." Sudanese Journal of Paediatrics 19 (2019), 6-13. doi:10.24911/SJP.106-1549488256



MLA (The Modern Language Association) Style

Paul, Siba Prosad, Lauren Katie Stanton, Helen Louise Adams, and Dharamveer Basude. "Coeliac disease in children: the need to improve awareness in resource-limited settings." Sudanese Journal of Paediatrics 19.1 (2019), 6-13. Print. doi:10.24911/SJP.106-1549488256



APA (American Psychological Association) Style

Paul, S. P., Stanton, . L. K., Adams, . H. L. & Basude, . D. (2019) Coeliac disease in children: the need to improve awareness in resource-limited settings. Sudanese Journal of Paediatrics, 19 (1), 6-13. doi:10.24911/SJP.106-1549488256





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