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Article

Clinical Manifestation and Diagnostic Process of Celiac Disease in Poland—Comparison of Pediatric and Adult Patients in Retrospective Study

by 1,2,*, 2, 3, 4 and 5
1
Department of Basic Nursing, Chair of Development in Nursing, Faculty of Health Promotion, Medical University, 20-081 Lublin, Poland
2
Polish-Ukrainian Foundation of Medicine Development, 20-701 Lublin, Poland
3
Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK
4
Department of Basic Nursing, Chair of Development in Nursing, Faculty of Health Sciences, Medical University, 20-081 Lublin, Poland
5
Department of Pathomorphology, The Children’s Memorial Health Institute, 04-730 Warsaw, Poland
*
Author to whom correspondence should be addressed.
Academic Editor: David S. Sanders
Nutrients 2022, 14(3), 491; https://doi.org/10.3390/nu14030491
Received: 28 December 2021 / Revised: 17 January 2022 / Accepted: 21 January 2022 / Published: 23 January 2022
(This article belongs to the Special Issue Gluten-Free Diet and Gastrointestinal Diseases)
The diagnosis of celiac disease (CD) may be delayed due to non-specific clinical symptoms. The aim of the study was to evaluate the clinical manifestation and diagnostic process of CD in Polish children and adults. Methods: The members of the Polish Coeliac Society (n = 2500) were asked to complete a questionnaire on socio-demographic factors, clinical and diagnostic aspects of CD. The analysis was based on 796 responses from patients with confirmed CD diagnosis, and included 224 (28.1%) children and 572 (71.9%) adults. Results: The mean duration of symptoms prior to CD diagnosis in children was significantly shorter than in adults (p < 0.001), and amounted to 3.1 and 9 years respectively. The most frequent symptoms before CD diagnosis were abdominal pain and bloating in children (70.4%), and chronic fatigue in adults (74.5%). Although almost all CD patients claimed to strictly avoid gluten after CD diagnosis, symptoms were still present in the majority of these respondents. No comorbid diseases were reported by 29.8% of children and by 11.7% of adults (p < 0.001). Conclusions: the results indicate that CD diagnosis is delayed in Poland, especially in adults, and clinicians should be aware of the diversity in CD presentation. View Full-Text
Keywords: celiac disease; diagnostic process; gluten free diet; delayed diagnosis celiac disease; diagnostic process; gluten free diet; delayed diagnosis
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MDPI and ACS Style

Majsiak, E.; Choina, M.; Gray, A.M.; Wysokiński, M.; Cukrowska, B. Clinical Manifestation and Diagnostic Process of Celiac Disease in Poland—Comparison of Pediatric and Adult Patients in Retrospective Study. Nutrients 2022, 14, 491. https://doi.org/10.3390/nu14030491

AMA Style

Majsiak E, Choina M, Gray AM, Wysokiński M, Cukrowska B. Clinical Manifestation and Diagnostic Process of Celiac Disease in Poland—Comparison of Pediatric and Adult Patients in Retrospective Study. Nutrients. 2022; 14(3):491. https://doi.org/10.3390/nu14030491

Chicago/Turabian Style

Majsiak, Emilia, Magdalena Choina, Alastair M. Gray, Mariusz Wysokiński, and Bożena Cukrowska. 2022. "Clinical Manifestation and Diagnostic Process of Celiac Disease in Poland—Comparison of Pediatric and Adult Patients in Retrospective Study" Nutrients 14, no. 3: 491. https://doi.org/10.3390/nu14030491

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