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2022, Number 3

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Rev Cubana Pediatr 2022; 94 (3)

Type 1 diabetes mellitus and celiac disease in children and adolescents

Véliz JAL, Araujo HO, Ávila OI
Full text How to cite this article

Language: Spanish
References: 28
Page: 1-15
PDF size: 433.89 Kb.


Key words:

type 1 diabetes mellitus, celiac disease, children and adolescents.

ABSTRACT

Introduction: The association between celiac disease and type 1 diabetes mellitus has been published more frequently than isolated celiac disease, whose natural history can vary considerably, with evidence of gastrointestinal symptoms in the minority of patients.
Objective: To characterize patients with type 1 diabetes mellitus and celiac disease.
Method: Observational, descriptive and cross-sectional study in 63 children treated at "Centro Habana" Pediatric Teaching Hospital between the years 2016-2017 with a diagnosis of type 1 diabetes mellitus. The variables studied were expressed in absolute and relative values, a measure of central tendency and dispersion.
Results: Males accounted for 58.73% of the patients, most of them between 10 and 14 years old. The anti-transglutaminase antibody was positive in less than 10% of the children, usually without symptoms, signs, or findings related to celiac disease. The frequency of both diseases in the patients studied was 3.17%.
Conclusions: Type 1 diabetes mellitus predominates in males unlike celiac disease which is diagnosed in female patients. The results of anti-transglutaminase antibodies are negative in most patients while the positive ones have more than a year of evolution of diabetes, are eutrophic or overweight, asymptomatic and with slightly higher values of glycosylated hemoglobin.


REFERENCES

  1. Mesa J, Falcón de Legal E, Velasco García E, Salud Jiménez J, González Chávez A, Brahim Estrada C, et. al. Guías Asociación Latinoamericana de Diabetes (ALAD) sobre el Diagnóstico, Control y Tratamiento de la Diabetes Mellitus Tipo 2 con Medicina Basada en Evidencia Edición 2019. Revista ALAD. México: ALAD; 2019 [acceso 21/06/2020]:11. Disponible en: https://revistaalad.com/guias/5600AX191_guias_alad_2019.pdf

  2. Román Riechmanna E, Castillejo de Villasanteb G, Cilleruelo Pascuala ML, DonatAliagac E, Polanco Alluéd I, Sánchez-Valverde F, et al. Aplicación racional de los nuevos criterios de la European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) 2020 para el diagnóstico de la enfermedad celíaca. An Pediatr (Barc). 2020 [acceso 18/02/2021];92(2):110.e1-110.e9. Disponible en: https://www.analesdepediatria.org/es-aplicacion-racional-nuevos-criterios-european-articulo-S16954033193041752.

  3. Weiss B, Pinhas-Hamiel O. Celiac Disease and Diabetes: When to Test and Treat. J Pediatric Gastroenterol Nutrit. 2017 [acceso 20/05/2019];64(2):175-9. Disponible en: https://journals.lww.com/jpgn/FullText/2017/02000/Celiac_Disease_and_Diabetes__When_to_Test_and.5.aspx3.

  4. American Diabetes Association. Standards of Medical Care in Diabetes-2016: summary of revisions. Diabet Care 2016 [acceso 21/06/2020];39(suppl 1):S4-S5 DOI: https://doi.org/10.2337/dc16-S0034.

  5. Mahmud F, Elbarbary N, Fröhlich-Reiterer E, Holl R, Kordonouri O, Knip M, et. al. ISPAD Clinical Practice Consensus Guidelines 2018: Others complications and associated conditions in children and adolescents. Pediatr Diabetes. 2018;19:275-86. DOI: 10.1111/pedi.127405.

  6. Shahramian I, Bazi A, Sargazi A. An Overview of Celiac Disease in Childhood Type 1 Diabetes. Int J Endocrinol Metab. 2018 [acceso: 20/05/2019];16(3):e66801. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119207/6.

  7. Parkkola A, Laine AP, Karhunen M, Härkönen T, Ryhänen SJ, Ilonen J, et al. HLA and non-HLA genes and familial predisposition to autoimmune diseases in families with a child affected by type 1 diabetes. PLoS ONE. 2017 [acceso 22/06/2020];12(11):e0188402. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5705143/7.

  8. Redondo M, Steck A, Pugliese A. Genetics of type 1 diabetes. Pediatr Diabetes. 2018 [acceso 20/06/2020];19(3):346-53. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5918237/8.

  9. Gutierrez-Achury J, Zhernakova A, Pulit SL, Trynka G, Hunt KA, Romanos J, et al. Fine mapping in the MHC region accounts for 18 % additional genetic risk for celiac disease. Nat Genet. 2015 [acceso 21/06/2020];(47):577-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4449296/9.

  10. Gutierrez-Achury J, Romanos J, Bakker S, Kumar V, de Haas E, Trynka G, et al. Contrasting the Genetic Background of Type 1 Diabetes and Celiac Disease Autoimmunity. Diabet Care. 2015 [acceso 20/05/2019];(38):S37-S44. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4582914/10.

  11. Gálvez Soler JL, Vázquez Sánchez V. Cambios en el estado nutricional en escolares de La Habana con sobrepeso y obesos en dos años de seguimiento. Nutr Clín Diet Hosp. 2019 [acceso 20/05/2019];39(4):162-167. Disponible en: https://revista.nutricion.org/PDF/GALVEZ.pdf11.

  12. Oberhuber G, Granditsch G, Vogelsang H. The histopathology of coeliac disease: time for a standardized report scheme for pathologists. Eur J Gastroenterol Hepatol. 1999;(11):1185-1194. DOI: 10.1097/00042737-199910000-0001912.

  13. Polanco Allué I. Actualización en enfermedad celíaca: diagnóstico y actuación clínica y dietética. Nutr Clin Med. 2015;IX(2):145-56. DOI: 10.7400/NCM.2015.09.2.502713.

  14. Vyas V; Jain V. Celiac disease & tpe 1 diabetes mellitus: Connections & implications. Indian J Med Res. 2017 [acceso 18/02/2021];145(1):4-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5460572/14.

  15. Velasco Benitez C, Ruiz Extremera A, MatallanaRhoades A, Giraldo Lora S, Ortiz Rivera C, Prevalencia de marcadores de enfermedad celíaca en niños colombianos con diabetes mellitus tipo 1. Colomb Med. 2018 [acceso 19/02/2021];49(4):273-9. Disponible en: http://www.scielo.org.co/pdf/cm/v49n4/es_1657-9534-cm-49-04-00273.pdf15.

  16. Díaz-Cárdenas C, Wong C, Vargas Catalán N. Grado de control metabólico en niños y adolescentes con diabetes mellitus tipo 1. Rev Chilena Pediatr. 2016 [acceso 16/02/2017];87(1):43-7. Disponible en: https://www.sciencedirect.com/science/article/pii/S037041061500217X16.

  17. Levy-Shraga Y. Morbidity in pre-school children with Type 1 diabetes. Diabet. Med. 2012;29:1291-6. Disponible en: https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1464-5491.2012.03682.x17.

  18. Ministerio de Salud Pública. Anuario Estadístico de Salud. 2017 [acceso 28/03/2017]. Disponible en: https://files.sld.cu/dne/files/2018/04/Anuario-Electronico-Espa%c3%b1ol-2017-ed-2018.pdf18.

  19. Kordonouri O, Klingensmith G, Knip M, Holl R, Aanstoot HJ, Menon P, et al. Other complications and diabetes-associated conditions in children and adolescents. Pediatr Diabetes. 2014;15(20):270-8.

  20. Pham-Short A, Donaghue KC, Ambler G, Chan AK, Craig ME. Coeliac disease in Type 1 diabetes from 1990 to 2009: higher incidence in young children after longer diabetes duration. Diabet Med. 2012 [acceso 16/02/2017];29:e286-e289. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1464-5491.2012.03720.x20.

  21. Real Delor R, Ortiz Gaona N, Escurra Amarilla L. Enfermedad celiaca silente en pacientes con diabetes mellitus tipo 1. Rev Cubana Med, 2016 [acceso 16/02/2017];55(3):202-10. Disponible en: http://scielo.sld.cu/scielo.php?pid=S0034-75232016000300003&script=sci_arttext&tlng=en21.

  22. Ramírez Benítez A, Miranda Ojeda M, Ferreira L. Enfermedad celiaca y diabetes mellitus tipo 1. Rev Virtual Soc Parag Med Int. 2014 [acceso 16/02/2017];1(1):8-17. Disponible en: https://www.revistaspmi.org.py/index.php/rvspmi/article/view/140/15022.

  23. Werkstetter K, Korponay-Szabó I, Popp A, Villanacci V, Salemme M, Heilig G, et al. Accuracy in Diagnosis of Celiac Disease Without Biopsies in Clinical Practice. Gastroenterology. 2017 [acceso 22/06/2020];153(4):924-35. Disponible en: https://www.gastrojournal.org/article/S0016-5085(17)35736-0/fulltext?referrer=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F23.

  24. Walker MM, Ludvigsson JF, Sanders DS. Coeliac disease: review of diagnosis and management. Medical J Australia. 2017 [acceso 21/06/2020];207(4):173-8. DOI: 10.5694/mja16.0078824. .

  25. Craig M, Prinz N, Boyle C, Campbell F, Jones T, Hofer S, et al. Prevalence of Celiac Disease in 52,721 Youth With Type 1 Diabetes: International Comparison Across Three Continents. Diabet Care. 2017 [acceso 20/05/2019];40(8):1034-1040. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC646373625. /

  26. Bybrant MC, Örtqvist E, Lantz S, Grahnquist L. High prevalence of celiac disease in Swedish children and adolescents with type 1 diabetes and the relation to the Swedish epidemic of celiac disease: a cohort study. Scand J Gastroenterol. 2014;49(1):52-8.

  27. Singh P, Seth A, Kumar P, Sajjan S. Coexistence of celiac disease & type 1 diabetes mellitus in children. Indian J Med Res. 2017 [acceso: 22/05/2019];145(1):28-32. Disponible en:https://www.ijmr.org.in/article.asp?issn=0971-5916;year=2017;volume=145;issue=1;spage=28;epage=32;aulast=Singh27.

  28. Leeds JS, Hopper AD, Hadjivassiliou M, Tesfaye S, Sanders DS. High prevalence of microvascular complications in adults with type 1 diabetes and newly diagnosed celiac disease. Diabet Care. 2011 [acceso 22/05/2019];(34):2158-63. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3177718/28




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C?MO CITAR (Vancouver)

Rev Cubana Pediatr. 2022;94