versión impresa ISSN 2072-8174
REAL DELOR, Raúl Emilio et al. Coeliac disease in Paraguay. Rev. Nac. (Itauguá) [online]. 2011, vol.3, n.2, pp. 7-15. ISSN 2072-8174.
ABSTRACT Introduction: Celiac disease (CD) is an enteropathy induced by dietary gluten in genetically susceptible individuals and produce characteristic lesions in the intestinal mucosa, leading to a state of malabsorption. Objectives: To describe the demographic and clinical characteristics of carriers of CD in Paraguay and compare clinical presentation between children/adolescents and adults. Material and Methods: observational, retrospective, descriptive and analytical study from affiliation and clinical data at the time of diagnosis of CD in people who attended the Paraguayan Coeliac Foundation between 1995 and October 2011. We included 656 adults and children with clinical symptoms, specific serology and duodenal biopsy compatible with CD. Results: there was a female predominance (72.4%), the mean age was 25 ± 18 years. Chronic diarrheas were the most frequent cause of consultation (62.7%). Dermatitis herpetiformis occurred in 33.8% and family forms in 17.6%. Chronic autoimmune thyroiditis was found in 6.6% of cases. Conclusions: CD is presented in Paraguay mostly in women, debut at different ages, with predominantly classic form of chronic diarrhea (62.7%).
Palabras llave : Key word: coeliac disease, chronic diarrhea, intestinal malabsorption syndrome, dermatitis herpetiformis; Paraguay.