Elderly Onset Celiac Disease: A Narrative Review

Clinical Medicine Insights: Gastroenterology

Article

Anna Licata¹  Gaetano C. Morreale¹  Maria Cappello¹ 

[1]Gastroenterology and Hepatology Section, DIBIMIS, University of Palermo School of Medicine, Palermo, Italy.

关键词: elderly;    celiac disease;    presentations;    cardiovascular risk;   

DOI  :  10.4137/CGast.S38454

 received in 2016-03-31, accepted in 2016-06-29,  发布年份 2016

来源: Sage Journals

【 摘 要 】

Celiac sprue is a chronic disease, which usually occurs in children and young adults. However, it can develop in any age group, and the prevalence is increasing even in the elderly population. The atypical patterns of clinical presentation in this age group sometimes can cause a delay in diagnosis. Given the lower sensitivity and specificity of serological tests in the aged population, clinical suspect often arises in the presence of complications (autoimmune disorders, fractures, and finally, malignancy) and must be supported by endoscopic and imaging tools. In this review, we highlight the incidence and prevalence of celiac disease in the elderly, the patterns of clinical presentation, diagnosis, and the most frequent complications, with the aim of increasing awareness and reducing the diagnostic delay of celiac disease even in the elderly population.

【 授权许可】

CC BY-NC   
© 2016 SAGE Publications.