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Special Considerations in Children and Young Adults with Celiac Disease

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Celiac Disease

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

Celiac disease (CD) affects about 1 % of all children and young adults. Several aspects appear peculiar to this age group. Among them are the emerging roles of infant feeding practices and of infections in infancy on the development of CD, as well as the diagnostic challenges encountered in very young children, where celiac serology does not possess the same high degree of sensitivity it carries in older ages. In addition, the changing pattern of clinical presentations, with shift toward later age of diagnosis and more extra-intestinal manifestations, as well as the many disease associations described, need to be considered by the clinician. Lastly, there are important issues of compliance to the gluten-free diet and its impact on quality of life that represent specific challenges for the adolescent.

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  1. Department of Pediatric Gastroenterology, University of Chicago Comer Children’s Hospital, 5841 S. Maryland Ave., MC 4065, Chicago, IL, 60637, USA

    Stefano Guandalini M.D. & Sona Young M.D.

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  1. Stefano Guandalini M.D.
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Correspondence to Stefano Guandalini M.D. .

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  1. Department of Medicine, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

    S. Devi Rampertab

  2. Department of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

    Gerard E. Mullin

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Guandalini, S., Young, S. (2014). Special Considerations in Children and Young Adults with Celiac Disease. In: Rampertab, S., Mullin, G. (eds) Celiac Disease. Clinical Gastroenterology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4614-8560-5_13

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