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JCOM Abstract

J Clin Outcomes Manage 
2011 Oct;18(10):481-487
A 5-year-old boy with inability to relax and trouble focusing
Grief SN, Grief EM, Ansal A

Abstract: Objective: To review the diagnosis of management of celiac disease in a young boy. Methods: Review of the literature. Results: Celiac disease is not always easily diagnosed. A complete history including both psychosocial and diet history helps elucidate the diagnosis. Diagnosis is confirmed by obtaining positive results on serum antibody testing to both IgA tissue transglutaminase and endomysial antibodies. Small intestinal biopsy, the gold standard for the diagnosis of celiac disease, can be deferred in children. Following a gluten-free diet is the key to short- and long-term improvement in the condition and will also serve as confirmation for an accurate diagnosis. Conclusion: Appropriate awareness of celiac disease may allow for earlier recognition of its often atypical presentation.

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