Coexistence of Excessive Weight Gain and Celiac Disease in Children: An Unusual Familial Condition
	    		
		   		
		   			
		   		
	    	
    	 
    	10.5223/pghn.2019.22.4.407
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Valeria CALCATERRA
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Corrado REGALBUTO
			        		
			        		;
		        		
		        		
		        		
			        		Alexandra MADÈ
			        		
			        		;
		        		
		        		
		        		
			        		Mariasole MAGISTRALI
			        		
			        		;
		        		
		        		
		        		
			        		Maureen M LEONARD
			        		
			        		;
		        		
		        		
		        		
			        		Hellas CENA
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Pediatrics and Adolescentology Unit, Department of Internal Medicine, University of Pavia, Pavia, Italy. v.calcaterra@smatteo.pv.it
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Case Report
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Celiac disease;
			        		
			        		
			        		
				        		Child;
			        		
			        		
			        		
				        		Obesity;
			        		
			        		
			        		
				        		Familiarity;
			        		
			        		
			        		
				        		Overweight
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Abdominal Pain;
				        		
			        		
				        		
					        		Celiac Disease;
				        		
			        		
				        		
					        		Child;
				        		
			        		
				        		
					        		Constipation;
				        		
			        		
				        		
					        		Diagnosis;
				        		
			        		
				        		
					        		Fathers;
				        		
			        		
				        		
					        		Female;
				        		
			        		
				        		
					        		Follow-Up Studies;
				        		
			        		
				        		
					        		Headache;
				        		
			        		
				        		
					        		Humans;
				        		
			        		
				        		
					        		Life Style;
				        		
			        		
				        		
					        		Nutritional Status;
				        		
			        		
				        		
					        		Obesity;
				        		
			        		
				        		
					        		Overweight;
				        		
			        		
				        		
					        		Parents;
				        		
			        		
				        		
					        		Recognition (Psychology);
				        		
			        		
				        		
					        		Siblings;
				        		
			        		
				        		
					        		Weight Gain
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Pediatric Gastroenterology, Hepatology & Nutrition
	            		
	            		 2019;22(4):407-412
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Excessive weight gain in children diagnosed with celiac disease (CD) is becoming more common. We describe 2 siblings (9-year and 6 months-old female and 6-year and 9 months-old male) with obesity showing attenuated gastrointestinal and atypical symptoms in which CD was diagnosed in the absence of a known family history of CD. After children's diagnosis, CD in their parents was also investigated. It was detected in their father affected by overweight. The presentation of patients with CD has changed. While patients with overweight and obesity commonly have symptoms such as abdominal pain, reflux, headache, and constipation due to lifestyle factors, CD should also be considered in patients with or without a family history of CD. Careful nutritional status assessment and follow-up monitoring after the diagnosis of CD are mandatory, especially in subjects who are already overweight at the presentation of this disease.