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Int. Rev. Allergol. Clin. Immunol. Family Med., 2015, XXI/1: 038-041 Maximize

Int. Rev. Allergol. Clin. Immunol. Family Med., 2015, XXI/1: 038-041

Title: Recurrent abdominal pains in a five-year-old boy with serology positive for celiac disease – a case report 

Authors: Stelmach I, Malecka M, Lesniak K, Juralowicz D, Toporowska-Kowalska E

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07-01-2015

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN ENGLISH.

Recurrent abdominal pains in a five-year-old boy with serology positive for celiac disease – a case report


Stelmach I1, Malecka M1, Lesniak K1, Juralowicz D1, Toporowska-Kowalska E2.

1Department of Pediatrics and Allergy, N. Copernicus Hospital, Medical University of Lodz; 2Department of Pediatrics, Gastroenterology, Allergy and Nutrition, M. Konopnicka Hospital, Medical University of Lodz

Int. Rev. Allergol. Clin. Immunol. Family Med., 2015; Vol. 21, No. 1, 38

Recurrent abdominal pains are a very frequent problem in pediatric practice. They are most often classified as functional disorders. The reason for chronic abdominal pain, sometimes without any accompanying symptoms, may be celiac disease, also oligosymptomatic form.
Case report
. A five-year-old boy was admitted to our Paediatric and Allergology Clinic because of cramp like abdominal pain located in epigastric and intra-abdominal region. It had been occurring for the past 8 months mainly in the morning, after meals, and they often subsided spontaneously after defecation. Laboratory investigations revealed elevated of IgA-class antibodies against tissue transglutaminase. Initial upper endoscopy with biopsies was not conclusive for celiac disease. Diagnostic testing for the presence of histocompatibility antigens HLA DQ2/HLA DQ8 was also performed with the positive result of HLA-DQ2.5 subtype. On the basis of medical history, object examination and other additional tests performed, including genetic examination, latent celiac disease was diagnosed.
Conclusion
. The aim of this study was to highlight the reason for isolated, recurrent abdominal pains in children may be celiac disease. We would like to underline the importance of performing specific for celiac disease tests – antibodies specific for celiac disease. Every time a clinician has to diagnose the cause of recurrent abdominal pain in children even when other symptoms of this disease, such as body mass deficiency, chronic diarrhea, or anemia, are absent.

Key words: abdominal pain, latent celiac, normal mucosa