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<article  article-type="case-report"        dtd-version="1.4">
            <front>

                <journal-meta>
                                    <journal-id></journal-id>
            <journal-title-group>
                                                                                    <journal-title>Çocuk Dergisi</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">1308-8491</issn>
                                                                                            <publisher>
                    <publisher-name>Istanbul University</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id/>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Paediatrics</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Çocuk Sağlığı ve Hastalıkları</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>Case Report: Celiac Disease Mimicking Cystic Fibrosis</article-title>
                                                                                                                                                                                                <trans-title-group xml:lang="tr">
                                    <trans-title>Olgu Sunumu: Kistik Fibrosisi Taklit Eden Çölyak Hastalığı</trans-title>
                                </trans-title-group>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-6819-3887</contrib-id>
                                                                <name>
                                    <surname>Koçkar</surname>
                                    <given-names>Tuba</given-names>
                                </name>
                                                                    <aff>İSTANBUL MEDİPOL ÜNİVERSİTESİ, TIP FAKÜLTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-9351-7102</contrib-id>
                                                                <name>
                                    <surname>Çiftçi</surname>
                                    <given-names>Mustafa</given-names>
                                </name>
                                                                    <aff>İSTANBUL MEDİPOL ÜNİVERSİTESİ, TIP FAKÜLTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-1123-4729</contrib-id>
                                                                <name>
                                    <surname>Erdoğan</surname>
                                    <given-names>Fırat</given-names>
                                </name>
                                                                    <aff>İSTANBUL MEDİPOL ÜNİVERSİTESİ, TIP FAKÜLTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-8396-4048</contrib-id>
                                                                <name>
                                    <surname>Kutlu</surname>
                                    <given-names>Tufan</given-names>
                                </name>
                                                                    <aff>CERRAHPAŞA TIP PR.</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-7950-2067</contrib-id>
                                                                <name>
                                    <surname>Oktem</surname>
                                    <given-names>Sedat</given-names>
                                </name>
                                                                    <aff>İSTANBUL MEDİPOL ÜNİVERSİTESİ, TIP FAKÜLTESİ</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20210517">
                    <day>05</day>
                    <month>17</month>
                    <year>2021</year>
                </pub-date>
                                        <volume>21</volume>
                                        <issue>1</issue>
                                        <fpage>83</fpage>
                                        <lpage>85</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20200805">
                        <day>08</day>
                        <month>05</month>
                        <year>2020</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20210202">
                        <day>02</day>
                        <month>02</month>
                        <year>2021</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2000, Journal of Child</copyright-statement>
                    <copyright-year>2000</copyright-year>
                    <copyright-holder>Journal of Child</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>In this report, a ten-year-old boy was presented with a history of chronic diarrhea, recurrent wheezing, recurrent respiratory infections, finger clubbing, and growth retardation. Due to bronchiectasis in the chest tomography, low gaita elastase levels, and symptoms and signs of the case, the patient was diagnosed with cystic fibrosis at first. Nevertheless, since the patient’s response to enzyme replacement therapy was poor, sweat test results detected at intermediate levels, and gene analysis of cystic fibrosis-associated mutations were not found. A further evaluation was performed for a differential diagnosis, and Celiac disease was the final diagnosis of the patient. Our paper highlighted that patients with cystic fibrosis symptoms should be evaluated further for Celiac disease, especially in cases resistant to standard cystic fibrosis treatment. Thus, Celiac disease must be kept in mind in differential diagnoses of cystic fibrosis patients resistant to therapy or in conditions in which cystic fibrosis diagnosis is not certain.</p></abstract>
                                                                                                                                    <trans-abstract xml:lang="tr">
                            <p>Bu yazıda kronik ishal, tekrarlayan hışıltılı solunum atakları, sık solunum yolu enfeksiyonu, parmaklarda çomaklaşma ve büyüme geriliği bulunan 10 yaşında bir olgu sunulmuştur. Vakanın semptom ve bulguları, akciğer tomografisinde bronşiektazi saptanması, düşük dışkı elastaz seviyeleri nedeni ile başlangıçta kistik fiboz tanısı düşünülmüştür. Ancak, hastanın enzim replasman tedavisine yanıtının düşük olması, ter testi sonuçlarının orta düzeyde olması ve gen analizinde kistik fibroz ilişkili mutasyonların saptanmaması nedeniyle ayırıcı tanılar için ileri incelemeler yapılmış ve hastaya Çölyak hastalığı tanısı konmuştur. Makalemizde, özellikle kistik fibroz tedavisine dirençli kistik fibroz bulguları olan hastaların Çölyak hastalığı açısından ileri incelenmesinin gerekliliği vurgulanmıştır. Diğer bir deyişle, Çölyak hastalığı, kesin kistik fibrozis tanısı konulamayan veya enzim replasman tedavisine dirençli kistik fibroz tanılı hastalarda ayırıcı tanıda düşünülmelidir.</p></trans-abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>Cystic fibrosis</kwd>
                                                    <kwd>  Celiac disease</kwd>
                                                    <kwd>  differential diagnosis</kwd>
                                            </kwd-group>
                                                        
                                                                            <kwd-group xml:lang="tr">
                                                    <kwd>Kistik fibrozis</kwd>
                                                    <kwd>  Çölyak hastalığı</kwd>
                                                    <kwd>  ayırıcı tanı</kwd>
                                            </kwd-group>
                                                                                                            </article-meta>
    </front>
    <back>
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    </article>
