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[小儿乳糜泻:临床特征与诊断过程]

[Pediatric coeliac disease: Clinical features and diagnostic process].

作者信息

Ortiz Gonzalo, Toca María Del Carmen, Mora Mabel, Orsi Marina, Furnes Raquel, Litwin Néstor, Wagener Marta, Guzmán Luciana, Bastianelli Cinthia, Martin Graciela, Guouman Alejandro, Coccolo Silvia, Botero Adriana, Ursino Florencia, Menéndez Lorena, Oviedo Adriana, Kahane Verónica, García de Dávila María T, González Juliana, Sosa Patricia, Levy Laura

机构信息

Comité de Gastroenterología, Grupo de Trabajo de Enfermedad Celíaca, Sociedad Argentina de Pediatría.

出版信息

Arch Argent Pediatr. 2025 Aug 1;123(4):e202410461. doi: 10.5546/aap.2024-10461.

DOI:10.5546/aap.2024-10461
PMID:39508567
Abstract

Celiac disease is a chronic condition that affects approximately 1% of the world's population, becoming a public health problem. The numerous publications and international guides published in recent years make it necessary to update aspects related to its diagnosis. Highly sensitive and specific serological determinations have allowed the identification of the clinical polymorphism. The Celiac Disease Working Group of the Gastroenterology Committee of the Sociedad Argentina de Pediatría. developed this consensus based on the opinion of experts, aimed at pediatricians, updating the following topics: definition, classification of clinical forms, recommended serological determinations, indication for duodenal biopsies, histopathological classification, usefulness of genetic study.

摘要

乳糜泻是一种影响全球约1%人口的慢性疾病,已成为一个公共卫生问题。近年来发表的大量文献和国际指南使得有必要更新与其诊断相关的各个方面。高敏感性和特异性的血清学检测有助于识别临床多态性。阿根廷儿科学会胃肠病学委员会乳糜泻工作组基于专家意见制定了本共识,旨在为儿科医生提供参考,更新以下主题:定义、临床形式分类、推荐的血清学检测、十二指肠活检指征、组织病理学分类、基因研究的实用性。

相似文献

1
[Pediatric coeliac disease: Clinical features and diagnostic process].[小儿乳糜泻:临床特征与诊断过程]
Arch Argent Pediatr. 2025 Aug 1;123(4):e202410461. doi: 10.5546/aap.2024-10461.
2
NIH Consensus Statement on Management of Hepatitis C: 2002.美国国立卫生研究院关于丙型肝炎管理的共识声明:2002年。
NIH Consens State Sci Statements. 2002;19(3):1-46.
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Home treatment for mental health problems: a systematic review.心理健康问题的居家治疗:一项系统综述
Health Technol Assess. 2001;5(15):1-139. doi: 10.3310/hta5150.
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Daily gluten consumption of pediatric first-degree relatives of coeliac patients, is it so low that we miss diagnoses?乳糜泻患者一级亲属的每日麸质摄入量是否过低,以至于我们会漏诊?
Eur J Pediatr. 2025 Jun 23;184(7):436. doi: 10.1007/s00431-025-06257-8.
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The clinical effectiveness and cost-effectiveness of enzyme replacement therapy for Gaucher's disease: a systematic review.戈谢病酶替代疗法的临床疗效和成本效益:一项系统评价。
Health Technol Assess. 2006 Jul;10(24):iii-iv, ix-136. doi: 10.3310/hta10240.
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Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19.在基层医疗机构或医院门诊环境中,如果患者出现以下症状和体征,可判断其是否患有 COVID-19。
Cochrane Database Syst Rev. 2022 May 20;5(5):CD013665. doi: 10.1002/14651858.CD013665.pub3.
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Clinical practice guideline: diagnosis and evaluation of the child with attention-deficit/hyperactivity disorder. American Academy of Pediatrics.临床实践指南:注意缺陷/多动障碍儿童的诊断与评估。美国儿科学会。
Pediatrics. 2000 May;105(5):1158-70. doi: 10.1542/peds.105.5.1158.
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The Italian Society for Pediatric Nephrology (SINePe) consensus document on the management of nephrotic syndrome in children: Part I - Diagnosis and treatment of the first episode and the first relapse.意大利儿科学会肾脏病学分会(SINePe)关于儿童肾病综合征管理的共识文件:第一部分——首次发作及首次复发的诊断与治疗
Ital J Pediatr. 2017 Apr 21;43(1):41. doi: 10.1186/s13052-017-0356-x.
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Shared decision-making interventions for people with mental health conditions.心理健康问题患者的共同决策干预措施。
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Paediatric-onset lymphomatoid papulosis: results of a multicentre retrospective cohort study on behalf of the EORTC Cutaneous Lymphoma Tumours Group (CLTG).儿童发病的蕈样肉芽肿病:EORTC 皮肤淋巴瘤肿瘤学组(CLTG)代表进行的一项多中心回顾性队列研究结果。
Br J Dermatol. 2024 Jul 16;191(2):233-242. doi: 10.1093/bjd/ljae150.

引用本文的文献

1
Typing of HLA susceptibility alleles as complementary tool in diagnosis of controversial cases of pediatric celiac disease.HLA易感等位基因分型作为诊断儿童乳糜泻争议病例的辅助工具。
Front Nutr. 2025 Feb 25;12:1500632. doi: 10.3389/fnut.2025.1500632. eCollection 2025.