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Diagnostic Delay of Celiac Disease in Childhood

Diagnostic Delay of Celiac Disease in Childhood

April 9, 2024 | Paola Iaria Bianchi, MD; Marco Vincenzo Lenti, MD; Clarissa Petrucci, MD; Giulia Gambini, MD; Nicola Aronico, MD; Matteo Varallo, MD; Carlo Maria Rossi, MD; Elena Pozzi, MD; Elena Groppali, MD; Francesca Siccardo, MD; Giulia Franchino, MD; Gian Vincenzo Zuccotti, MD; Grazia Di Leo, MD; Chiara Zanchi, MD; Fernanda Cristofori, MD; Ruggerio Francavilla, MD; Marina Aloi, MD; Giulia Gagliastro, MD; Monica Montuori, MD; Sara Romaggioni, MD; Caterina Strisciuglio, MD; Marco Crocco, MD; Noemi Zampatti, MD; Angela Calvi, MD; Renata Auricchio, MD; Costantino De Giacomo, MD; Silvia Maria Elena Caimmi, MD; Carolina Carraro, MD; Annamaria Staiano, MD; Sabrina Cenni, MD; Mauro Congia, MD; Enrico Schirru, BSc; Francesca Ferretti, MD; Carolina Ciacci, MD; Niccoletta Vecchione, MD; Mario Andrea Latorre, MD; Semela Resuli, MD; Gius Cinzia Moltisanti, MD; Giulia Maria Abruzzese, MD; Andrea Quadrelli, MD; Simone Saglio, MD; Pietro Canu, MD; Damiano Ruggeri, MD; Annalisa De Silvestri, MD; Catherine Klersy, MD; Gian Luigi Marsegia, MD; Gino Roberto Corazza, MD; Antonio Di Sabatino, MD
A study of 3171 children with celiac disease (CD) in Italy found that the median diagnostic delay was 5 months, with preconsultation and postconsultation delays of 2 and 1 months, respectively. Children diagnosed at age less than 3 years had shorter delays, as did males. Family history of CD was associated with shorter delays. Neurological symptoms, gastroesophageal reflux, and failure to thrive were linked to longer delays. Misdiagnosis was more common in cases of gastroesophageal reflux. The study highlights that while diagnostic delay in pediatric CD is generally short, certain clinical features can lead to prolonged delays. The findings suggest that factors such as age, gender, and symptom presentation influence diagnostic delay. The study also notes that the biopsy-sparing approach used in CD diagnosis reduces overall diagnostic delay. However, some factors, such as previous misdiagnosis, can contribute to longer delays. The study emphasizes the importance of early recognition of CD symptoms to improve diagnosis and treatment outcomes. The results indicate that CD diagnosis in children is generally timely, but certain conditions may lead to delays. The study also highlights the need for further research into factors that influence diagnostic delay in pediatric CD.A study of 3171 children with celiac disease (CD) in Italy found that the median diagnostic delay was 5 months, with preconsultation and postconsultation delays of 2 and 1 months, respectively. Children diagnosed at age less than 3 years had shorter delays, as did males. Family history of CD was associated with shorter delays. Neurological symptoms, gastroesophageal reflux, and failure to thrive were linked to longer delays. Misdiagnosis was more common in cases of gastroesophageal reflux. The study highlights that while diagnostic delay in pediatric CD is generally short, certain clinical features can lead to prolonged delays. The findings suggest that factors such as age, gender, and symptom presentation influence diagnostic delay. The study also notes that the biopsy-sparing approach used in CD diagnosis reduces overall diagnostic delay. However, some factors, such as previous misdiagnosis, can contribute to longer delays. The study emphasizes the importance of early recognition of CD symptoms to improve diagnosis and treatment outcomes. The results indicate that CD diagnosis in children is generally timely, but certain conditions may lead to delays. The study also highlights the need for further research into factors that influence diagnostic delay in pediatric CD.
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