ผลต่างระหว่างรุ่นของ "โรคของซีลิแอ็ก"

เก็บกวาดทันใจด้วยสจห.
(เก็บกวาดทันใจด้วยสจห.)
 
อาการกระเพาะลำไส้อาจจะเบาหรือไม่มี อาจมีอาการที่ส่วนอื่น ๆ ของร่างกาย หรือไม่ปรากฏอาการอะไร ๆ เลย<ref name=Fasano2005Pediatric />
แม้โรคอาจเริ่มตั้งแต่วัยเด็ก<ref name=Cic2015>
{{cite journal | authors = Ciccocioppo, R; Kruzliak, P; Cangemi, GC; Pohanka, M; Betti, E; Lauret, E; Rodrigo, L | title = The Spectrum of Differences between Childhood and Adulthood Celiac Disease | journal = Nutrients | volume = 7 | issue = 10 | pages = 8733-51 | date = 2015-10-22 | pmid = 26506381 | pmc = 4632446 | doi = 10.3390/nu7105426 | type = Review | quote = Several additional studies in extensive series of coeliac patients have clearly shown that TG2A sensitivity varies depending on the severity of duodenal damage, and reaches almost 100% in the presence of complete villous atrophy (more common in children under three years), 70% for subtotal atrophy, and up to 30% when only an increase in IELs is present. '' (IELs: intraepithelial lymphocytes) ''}}</ref><ref name=ESPGHAN2012>
{{cite journal | authors = Husby, S; Koletzko, S; Korponay-Szabó, IR; Mearin, ML; Phillips, A; Shamir, R; Troncone, R; Giersiepen, K; Branski, D; Catassi, C; Lelgeman, M; Mäki, M; Ribes-Koninckx, C; Ventura, A; Zimmer, KP; ESPGHAN Working Group on Coeliac Disease Diagnosis; ESPGHAN Gastroenterology Committee; European Society for Pediatric Gastroenterology, Hepatology, Nutrition | title = European Society for Pediatric Gastroenterology, Hepatology, and Nutrition guidelines for the diagnosis of coeliac disease | journal = J Pediatr Gastroenterol Nutr | volume = 54 | issue = 1 | pages = 136-60 | date = January 2012 | pmid = 22197856 | url = http://www.espghan.org/fileadmin/user_upload/guidelines_pdf/Guidelines_2404/European_Society_for_Pediatric_Gastroenterology_.28__1_.pdf | doi = 10.1097/MPG.0b013e31821a23d0 | type = Practice Guideline | quote = Since 1990, the understanding of the pathological processes of CD has increased enormously, leading to a change in the clinical paradigm of CD from a chronic, gluten-dependent enteropathy of childhood to a systemic disease with chronic immune features affecting different organ systems. (...) atypical symptoms may be considerably more common than classic symptoms | deadurl = no | archiveurl = https://web.archive.org/web/20160403065800/http://www.espghan.org/fileadmin/user_upload/guidelines_pdf/Guidelines_2404/European_Society_for_Pediatric_Gastroenterology_.28__1_.pdf | archivedate = 2016-04-03}}</ref>
แต่ก็เกิดเมื่ออายุเท่าไรก็ได้<ref name=Fasano2005Pediatric>{{cite journal | author = Fasano, A | title = Clinical presentation of celiac disease in the pediatric population | journal = Gastroenterology | volume = 128 | issue = 4 Suppl 1 | pages = S68-73 | date = April 2005 | pmid = 15825129 | doi = 10.1053/j.gastro.2005.02.015 | type = Review}}</ref><ref name=ESPGHAN2012 />
{{cite journal | authors = Tovoli, F; Masi, C; Guidetti, E; Negrini, G; Paterini, P; Bolondi, L | title = Clinical and diagnostic aspects of gluten related disorders | journal = World Journal of Clinical Cases | volume = 3 | issue = 3 | pages = 275-84 | date = March 2015 | pmid = 25789300 | pmc = 4360499 | doi = 10.12998/wjcc.v3.i3.275 | type = Review }}</ref><ref name=PenaginiDilillo2013>
{{cite journal | authors = Penagini, F; Dilillo, D; Meneghin, F; Mameli, C; Fabiano, V; Zuccotti, GV | title = Gluten-free diet in children: an approach to a nutritionally adequate and balanced diet | journal = Nutrients | volume = 5 | issue = 11 | pages = 4553-65 | date = November 2013 | pmid = 24253052 | pmc = 3847748 | doi = 10.3390/nu5114553 | type = Review }}</ref><ref name=Lancet2009>
{{cite journal | authors = Di Sabatino, A; Corazza, GR | title = Coeliac disease | journal = Lancet | volume = 373 | issue = 9673 | pages = 1480-93 | date = April 2009 | pmid = 19394538 | doi = 10.1016/S0140-6736 (09) 60254-3 }}</ref>
ปกติคนไข้สามารถรับ[[ข้าวโอ๊ต]]ที่ไม่มากเกินโดยไม่เจือปนกับข้าวที่มีกลูเตนอื่น ๆ ได้<ref name=PenaginiDilillo2013 /><ref>{{cite journal | authors = Pinto-Sánchez, MI; Causada-Calo, N; Bercik, P; Ford, AC; Murray, JA; Armstrong, D; Semrad, C; Kupfer, SS; Alaedini, A; Moayyedi, P; Leffler, DA; Verdú, EF; Green, P | title = Safety of Adding Oats to a Gluten-Free Diet for Patients With Celiac Disease: Systematic Review and Meta-analysis of Clinical and Observational Studies | journal = Gastroenterology | volume = 153 | issue = 2 | pages = 395-409.e3 | date = August 2017 | pmid = 28431885 | doi = 10.1053/j.gastro.2017.04.009 }}</ref>
แต่ก็อาจมีปัญหากับข้าวโอ๊ตบางสายพันธุ์<ref name=PenaginiDilillo2013 /><ref name=CominoMoreno2015>{{cite journal | authors = Comino, I; Moreno, M; Sousa, C | title = Role of oats in celiac disease | journal = World Journal of Gastroenterology | volume = 21 | issue = 41 | pages = 11825-31 | date = November 2015 | pmid = 26557006 | pmc = 4631980 | doi = 10.3748/wjg.v21.i41.11825 | quote = It is necessary to consider that oats include many varieties, containing various amino acid sequences and showing different immunoreactivities associated with toxic prolamins. As a result, several studies have shown that the immunogenicity of oats varies depending on the cultivar consumed. Thus, it is essential to thoroughly study the variety of oats used in a food ingredient before including it in a gluten-free diet. }}</ref>
* {{dmoz |Health/Conditions_and_Diseases/Digestive_System_Disorders/Intestinal/Celiac_Disease/}}
 
{{โครงแพทย์}}
[[หมวดหมู่:โรคภูมิต้านตนเอง]]
[[หมวดหมู่:Gastrointestinal tract disorders]]
[[หมวดหมู่:กุมารเวชศาสตร์]]
[[หมวดหมู่:Gluten sensitivity]]
{{โครงแพทย์}}
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