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Articles

Title: Clinical problems in recognizing late-onset coeliac disease in adults

Author:
Krystyna Karczewska, Jacek Kasner, Maria Łukasik, Jadwiga Sulej, Daniel Sabat, Dariusz Karasek, Ewa Maroczkaniec
Type:
Original articles
Language:
PL
Journal:
Polish Gastroenterology
Year:
2002
Volume:
9
Number:
3
Start page:
189
Final page:
193
ISSN:
1232-9886
Keywords:
coeliac disease, diagnon's in adults
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Objectives: The aim of the study was to demonstrate the problems in diagnosing coeliac disease in adults. Material and methods: Retrospective analysis of 6 cases of women aged 30-50 years was performed. In our patients, diagnosed in years 1990-2001, coeliac disease was recognized. These patients had been hospitalised several times before the ultimate diagnosis was confirmed. They were previously referred to Departments of Internal Diseases, Gynecology and Obstetrics or Psychiatry because of: depression, weight loss, chronic diarrhoea, infertility or muscular and joint pain. The diagnosis of coeliac disease was confirmed after the presence of serum IgAEmA and/or IgGEmA levels and total intestinal vilous atrophy were found. Results: Gluten free diet led to rapid improvement and the clinical symptoms disappeared. Conclusion: The clinical course of coeliac disease in adults is frequently atypical and could imitate many other syndromes.