Elderly Onset Celiac Disease: A Narrative Review

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....

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Bibliographic Details
Published in:Clinical Medicine Insights. Gastroenterology Vol. 2016; no. 9; pp. 41 - 49
Main Authors: Cappello, Maria, Morreale, Gaetano C., Licata, Anna
Format: Journal Article Book Review
Language:English
Published: London, England Libertas Academica 01-01-2016
SAGE Publishing
SAGE Publications
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Summary: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.
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ISSN:1179-5522
1179-5522
DOI:10.4137/CGast.S38454