Celiac disease diagnosed at an advanced age: silent course or delayed diagnose?

Abstract

Celiac disease (CD) is a chronic disease that develops due to permanent intolerance to gluten and gluten-like grain proteins in genetically susceptible individuals. Although it is usually diagnosed in childhood and young adulthood, it can develop in any age group. The prevalence of CD is increasing worldwide in the elderly population. Atypical clinical appearance and different laboratory findings in this age group cause errors and delays in diagnosis. In this case report, we discussed a 61-year-old female patient who was referred to our clinic due to weakness and iron deficiency anemia and diagnosed with CD. Thus, we aimed to increase awareness in the diagnostic approach to older cases of CD, to prevent delays in diagnosis and to emphasize the importance of endoscopic evaluation in anemic patients in this age group.

Keywords

• celiac disease,elderly population,endoscopy

İleri yaşta tanı konulan çölyak hastalığı: sessiz seyir mi, gecikmiş tanı mı?

Abstract

Çölyak hastalığı (ÇH), genetik olarak duyarlı kişilerde gluten ve gluten benzeri tahıl proteinlerine karşı kalıcı intoleransa bağlı olarak gelişen kronik bir hastalıktır. Genellikle çocukluk ve genç erişkinlik döneminde tanı konulmakla birlikte herhangi bir yaş grubunda gelişebilir. ÇH prevalansı tüm dünyada yaşlı popülasyonda artmaktadır. Bu yaş grubundaki atipik klinik görünüm ve farklı laboratuvar bulgular tanıda hatalara ve gecikmelere neden olmaktadır. Bu olgu sunumunda, halsizlik ve demir eksikliği anemisi nedeniyle kliniğimize yönlendirilen ve ÇH tanısı konulan 61 yaşındaki bayan hastamızı ele aldık. Böylece ileri yaştaki ÇH vakalarına tanısal yaklaşımdaki farkındalığı arttırmayı, tanıdaki gecikmeleri önlemeyi ve bu yaş grubu anemik hastalarda endoskopik değerlendirmenin önemini vurgulamayı hedefledik.

Keywords

• Çölyak hastalığı,yaşlı populasyon,endoskopi

References

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