Celiac disease is a frequent chronic inflammatory small bowel disease which may present itself with associated autoimmune comorbidities. Among these comorbidities, thyroid disorders show a significant prevalence; even in the pediatric population. However, the exact epidemiology and clinical significance of such alterations are yet to be fully elucidated. The most updated guidelines do not currently offer any specific support. Focusing on the pediatric population, we will review the recent available literature that we believe might be helpful in advancing the clinician’s knowledge-base regarding this issue. We also discuss which, to our knowledge, are the key pathophysiologic concepts behind the association between these two entities. Finally, we offer our own clinical perspective, recommending routine laboratory thyroid screening, possibly followed by an echographic thyroid evaluation as we believe such an approach to be appropriate when caring for children with celiac disease.
Relevance, pathogenesis and clinical implications of thyroid disorders in children with celiac disease / C. Mameli, S. Mazzantini, V. Colombo, G.V. Zuccotti. - In: EXPERT REVIEW OF ENDOCRINOLOGY & METABOLISM. - ISSN 1744-6651. - 10:6(2015 Nov 02), pp. 591-598.
|Titolo:||Relevance, pathogenesis and clinical implications of thyroid disorders in children with celiac disease|
|Parole Chiave:||autoimmune thyroiditis; autoimmunity; celiac disease; children; thyroid; Endocrinology, Diabetes and Metabolism|
|Settore Scientifico Disciplinare:||Settore MED/38 - Pediatria Generale e Specialistica|
|Data di pubblicazione:||2-nov-2015|
|Data ahead of print / Data di stampa:||set-2015|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1586/17446651.2015.1083855|
|Appare nelle tipologie:||01 - Articolo su periodico|