SciELO - Scientific Electronic Library Online

vol.30 issue2Alternative feeding methods for premature newborn infantsTonsillar lymphoma in children with unilateral tonsillar enlargement author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Revista Paulista de Pediatria

Print version ISSN 0103-0582


BOE, Cristiane et al. Celiac disease and constipation: an uncommon atypical clinical manifestation. Rev. paul. pediatr. [online]. 2012, vol.30, n.2, pp.283-287. ISSN 0103-0582.

OBJECTIVE: To report two cases of patients with celiac disease (CD) whose main complaint was chronic constipation. CASE DESCRIPTION: Two girls, aged 18 and 30 months, had chronic constipation refractory to standard treatment. Both patients concomitantly evidenced low weight gain and short stature. The investigation of the digestive-absorptive function was positive for IgA antibodies against tissue transglutaminase. The diagnosis of CD was confirmed by a small bowel biopsy that showed moderate/severe villous atrophy and increased intraepithelial lymphocytic infiltration. One month after starting the dietary treatment with a gluten-free diet, both patients recovered from constipation, with the passage of soft stools daily. COMMENTS: CD may be presented in the classical, asymptomatic or atypical forms. In the latter form, isolated manifestations, surch as constipation, delay the diagnosis of the disease.

Keywords : constipation; celiac disease; child.

        · abstract in Portuguese | Spanish     · text in English | Portuguese     · English ( pdf epdf ) | Portuguese ( pdf epdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License