Nisan 2015
Çölyakli çocuk hastalarimizin klinik degerlendirmesi
Clinical evaluation of children with coeliac disease
- Ana Sayfa
- Sayılar
- Nisan 2015
- Çölyakli çocuk hastalarimizin klinik degerlendirmesi...
Özet
Giris ve Amaç:Çölyak hastaligi tanisi almis olgularimizin klinik bulgularinin, laboratuvar verilerinin ve glutensiz diyete uyumlarinin degerlendirilmesi amaçlanmistir. Gereç ve Yöntem:Bu çalismada Erciyes Üniversitesi Tip Fakültesi Çocuk Gastroenteroloji bölümünde, Ekim 2011-Aralik 2013 tarihleri arasindaki iki yillik süreçte izlenen yaslari 1-18 yas arasinda (ortalamasi 9,4±4,02 yil) degisen, 28’i erkek (%39,9), 72 çölyak hastasinin basvuru sikayetleri, fizik muayene bulgulari, laboratuvar ve endoskopik verileri retrospektif olarak degerlendirildi. Bulgular:Çalis-maya alinan 72 olgunun yas ortalamasi 9,4±4,02 ve 44’ü (%61,1) kiz idi. Olgularimizin en sik basvuru sikayeti ishalken (%52), bunu gelisme geriligi (%25), karin agrisi (%11,1), kabizlik (%6,9) izledi. Olgularimizda boy kisaligi en sik görülen fizik muayene bulgusuydu. Laboratuvar bulgulari içerisinde en sik anemi görülürken bunlarin çogunlugunu demir eksikligi anemisi olusturmaktaydi. Olgularimizin klinik tiplemesinde hastalarin %82’si klasik, %6,9’u atipik, %6,9’u latent, %4,2’si asemptomatik çölyak hastaligi alt sinifindaydi. Sonuç: Bu çalismada kronik ishal ve gelisme geriligi olan çocuklarin yani sira kabizlik ve karin agrisi gibi atipik yakinmalari olan çocuklarda da çölyak hastaligi olabilecegini ve hastaliga bagli olusabilecek komplikasyonlarin glutensiz diyet ile azalti-labilecegini vurgulamak istedik.
Abstract
Background and Aims: To investigate the clinical and laboratory results of coeliac disease and assess patient compliance with a gluten free diet. Materials and Methods:We performed a retrospective analysis of 72 patients with coeliac disease at the Department of Pediatric Gastroenterology in Medical Faculty of Erciyes University between October 2011 and December 2013. All patients were screened for physical examination findings, laboratory tests and endoscopic results. The patients were between 1-18 years of age (mean 9.4±4.02 years). Results: The mean age of the 72 patients enrolled in the study was 9.4±4.02. Forty-four of the patients were female (61.1%). The most common initial complaints of the patients were diarrhea (52%), developmental deficiencies (25%), abdominal pain (11.1%), and constipation (6.9%). Short height was the most common clinical symptom in our examinations. Anemia was the most common laboratory finding and was mostly caused by iron deficiency anemia. The distribution of clinical sub-classification was 82% classical, 6.9% atypical, 6.9% latent and 4.2% asymptomatic. Conclusion:In this study, we would like to emphasize that aside from children with chronic diarrhea and developmental deficiencies, others with atypical complaints such as constipation and abdominal pain could suffer from coeliac disease. Coeliac disease related complications can be reduced through gluten-free diet.
