Adult celiac disease in northern India.

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dc.contributor.authorSood, Ajiten_US
dc.contributor.authorMidha, Vandanaen_US
dc.contributor.authorSood, Neenaen_US
dc.contributor.authorMalhotra, Vineetaen_US
dc.date.accessioned2003-07-10en_US
dc.date.accessioned2009-05-29T02:14:52Z
dc.date.available2003-07-10en_US
dc.date.available2009-05-29T02:14:52Z
dc.date.issued2003-07-10en_US
dc.description.abstractOBJECTIVE: To study the presentation of adult celiac disease in a northern Indian hospital. METHODS: Case records of all patients diagnosed as having adult celiac disease in the Gastroenterology unit of this hospital during January 1996 till December 2001 were reviewed. Celiac disease was diagnosed according to the revised ESPGAN criteria. Adult celiac disease was diagnosed if disease manifestations started after 15 years of age. All patients had a minimum of one-year follow up. RESULTS: The mean duration of illness in the 96 patients (mean [SD] age 32.9 [11.4] years; 50 men) diagnosed over the 6-year study period was 7.3 (2.4) years. Diarrhea was present is 67.7% of cases; 18.7% presented with refractory iron-deficiency anemia, and 9.4% with abdominal symptoms like flatulence and distension. Three patients presented with dysphagia and anemia and were diagnosed as having Plummer-Vinson syndrome. Ulcerative colitis, non-alcoholic steatohepatitis, and aphthous ulcers were associated conditions. All patients had significant improvement in symptoms and hematological and biochemical parameters after dietary gluten restriction. CONCLUSION: Adult celiac disease is not rare and usually presents as diarrhea, abdominal distension and flatulence, and refractory anemia.en_US
dc.description.affiliationDepartment of Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab. ajitsood10@sify.comen_US
dc.identifier.citationSood A, Midha V, Sood N, Malhotra V. Adult celiac disease in northern India. Indian Journal of Gastroenterology. 2003 Jul-Aug; 22(4): 124-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/63910
dc.language.isoengen_US
dc.source.urihttps://www.indianjgastro.comen_US
dc.subject.meshAcute Diseaseen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshCeliac Disease --diagnosisen_US
dc.subject.meshDiagnosis, Differentialen_US
dc.subject.meshDiet, Protein-Restricteden_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshIndiaen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPatient Complianceen_US
dc.titleAdult celiac disease in northern India.en_US
dc.typeComparative Studyen_US
dc.typeEvaluation Studiesen_US
dc.typeJournal Articleen_US
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