Volume 36, Issue 3 (9-2025)                   Studies in Medical Sciences 2025, 36(3): 231-237 | Back to browse issues page

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Javanmard F, Rahimi serajgah S. The Frequency of Hematologic Disorders in Children with Celiac Disease at Shahid Motahari Hospital in Urmia. Studies in Medical Sciences 2025; 36 (3) :231-237
URL: http://umj.umsu.ac.ir/article-1-6425-en.html
Department of pathology,Faculty of medicine , Urmia university of medical science , Urmia,Iran , javanmard.f@umsu.ac.ir
Abstract:   (59 Views)

Background and Objective: Celiac disease is an immune-mediated enteropathy characterized by gluten-induced intestinal mucosal damage that induces immune destruction in genetically susceptible individuals. Among its important and relatively common complications are hematologic disorders. This study statistically evaluated the frequency of hematologic abnormalities in children with celiac disease.
Materials and Methods: In this descriptive cross-sectional study, all children under 16 years of age hospitalized at Shahid Motahari Hospital in Urmia from 2019 to 2021 with biopsy-proven celiac disease according to the Marsh classification were included. The collected data included age, sex, WBC count, hemoglobin level, platelet count, prothrombin time, partial thromboplastin time, and international normalized ratio. All analyses were performed using SPSS version 27.
Results: Among the 67 patients enrolled in the study, 6% had leukocytosis, 11.9% had leukopenia, 10.5% had anemia, 9% had thrombocytosis, and 1.5% had thrombocytopenia. Prothrombin time abnormality was observed in 13.5% of patients, and partial thromboplastin time abnormality in 17.9%. Coagulation disorders were more frequent in girls with celiac disease (p < 0.05).
Conclusion: The most common hematologic abnormality in children with celiac disease was coagulation disorders. A significant association was found between sex and coagulation abnormalities, with girls showing a higher frequency of these disorders.
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Type of Study: Research | Subject: پاتولوژی

References
1. Kumar V AA, Aster JC. Robbins' Basic Pathology 11 11th edition. New york Elsvier 2021;784-785. [URL]
2. De Re V, Magris R, Cannizzaro R. New insights into the pathogenesis of celiac disease. Front Med. 2017;4:137. [DOI:10.3389/fmed.2017.00137] [PMID] []
3. Vader W, Stepniak D, Kooy Y, Mearin L, Thompson A, van Rood JJ, et al. The HLA-DQ2 gene dose effect in celiac disease is directly related to the magnitude and breadth of gluten-specific T cell responses. Proc Natl Acad Sci. 2003;100(21):12390-5. [DOI:10.1073/pnas.2135229100] [PMID] []
4. Rwalah M, Kamal N, Hijazeen R, Ghanma A, Alzeben Z, D'ajeh R. Hematological findings among Jordanian children with celiac disease at presentation: a retrospective analytical study. JR Med Serv. 2014;21(4):6-11. [DOI:10.12816/0008059]
5. Orunç EA, Arslan M. Evaluation of knowledge, attitudes, and practices of community pharmacists toward celiac disease. J. Fac. Pharm. Ankara. 2023;47(3):935-43. [DOI:10.33483/jfpau.1330731]
6. Martínez-Ojinaga E, Molina M, Polanco I, Urcelay E, Núñez C. HLA-DQ distribution and risk assessment of celiac disease in a Spanish center. REV ESP ENFERM DIG. 2018;110(7):421-6. [DOI:10.17235/reed.2018.5399/2017] [PMID]
7. Mohammadibakhsh R, Sohrabi R, Salemi M, Mirghaed MT, Behzadifar M. Celiac disease in Iran: a systematic review and meta-analysis. Electron physician 2017;9(3):3883. [DOI:10.19082/3883] [PMID] []
8. Dehghani SM, Haghighat M, Mobayen A, Rezaianzadeh A, Geramizadeh B. Prevalence of celiac disease in healthy Iranian school children. ANN SAUDI MED.2013;33(2):159-61. [DOI:10.5144/0256-4947.2013.159] [PMID] []
9. Brousse N, Meijer J. Malignant complications of coeliac disease. Best Pract Res Clin Gastroenterol. 2005;19(3):401-12. [DOI:10.1016/j.bpg.2005.02.002] [PMID]
10. Harper JW, Holleran SF, Ramakrishnan R, Bhagat G, Green PH. Anemia in celiac disease is multifactorial in etiology. Am J Hematol. 2007;82(11):996-1000. [DOI:10.1002/ajh.20996] [PMID]
11. Montoro-Huguet MA, Santolaria-Piedrafita S, Cañamares-Orbis P, García-Erce JA. Iron deficiency in celiac disease: prevalence, health impact, and clinical management. J Nutr. 2021;13(10):3437. [DOI:10.3390/nu13103437] [PMID] []
12. Baydoun A, Maakaron JE, Halawi H, Abou Rahal J, Taher AT. Hematological manifestations of celiac disease. Scand J Gastroenterol . 2012;47(12):1401-11. [DOI:10.3109/00365521.2012.706828] [PMID]
13. Duetz C, Houtenbos I, van Zuijdewijn CdR. Macroscopic hematuria as a presenting symptom of celiac disease. NETH J MED. 2019;77:84-5. [GOOGLE SCHOLAR]
14. Fisgin T, Yarali N, Duru F, Usta B, Kara A. Hematologic manifestation of childhood celiac disease. Acta Haematol. 2004;111(4):211-4. [DOI:10.1159/000077568] [PMID]
15. Marsh MN. Gluten, major histocompatibility complex, and the small intestine: a molecular and immunobiologic approach to the spectrum of gluten sensitivity ('celiac sprue'). J Gastroenterol . 1992;102(1):330-54. [DOI:10.1016/0016-5085(92)91819-P] [PMID]
16. Behrman RE, Kliegman R. Nelson essentials of pediatrics. WB Saunders Company; 21th ed.New york : Elsevier , 2023; 563-90 [GOOGLE SCHOLAR]
17. Catal F, Topal E, Ermiştekin H, Acar NY, Sinanoğlu MS, Karabiber H, et al. The hematologic manifestations of pediatric celiac disease at the time ofdiagnosis and efficiency of gluten-free diet. Turk J Med Sci. 2015;45(3):663-7. [DOI:10.3906/sag-1402-169] [PMID]
18. Halfdanarson TR, Litzow MR, Murray JA. Hematologic manifestations of celiac disease. Blood. 2007;109(2):412-21. [DOI:10.1182/blood-2006-07-031104] [PMID] []
19. Seidita A, Mansueto P, Compagnoni S, Castellucci D, Soresi M, Chiarello G, et al. Anemia in celiac disease: Prevalence, associated clinical and laboratory features, and persistence after gluten-free diet. J Pers Med . 2022;12(10):1582. [DOI:10.3390/jpm12101582] [PMID] []
20. Talarico V, Giancotti L, Mazza GA, Miniero R, Bertini M. Iron deficiency anemia in celiac disease. J Nutr.2021;13(5):1695. [DOI:10.3390/nu13051695] [PMID] []
21. Balaban DV, Coman LI, Enache IC, Mardan CM, Dima A, Jurcuț C, et al. Prevalence of Coagulopathy in Patients with Celiac Disease: A Single-Center Retrospective Case-Control Study. Insights Gastroenterol. 2023;14(4):463-74. [DOI:10.3390/gastroent14040034]
22. Sharma SS, Bharadia L, Shivpuri D, Garg P, Hidalgo G. Coagulation abnormalities in children with Celiac disease. Indian J Pediatr. 2017;54(6):507-9. [DOI:10.1007/s13312-017-1058-6] [PMID]
23. Cavallaro R, Iovino P, Castiglione F, Palumbo A, Marino M, Di Bella S, et al. Prevalence and clinical associations of prolonged prothrombin time in adult untreated coeliac disease. Eur J Gastroenterol Hepatol. 2004;16(2):219-23. [DOI:10.1097/00042737-200402000-00016] [PMID]
24. De Alwis AC, Shastry A. Coeliac Disease Presenting as Chronic Neutropenia and Leukopenia in a 14‐Year‐Old. J. Paediatr. Child Health.2022;58(5):936. [DOI:10.1111/jpc.15967] [PMID]
25. Carroccio A, Giannitrapani L, Di Prima L, Iannitto E, Montalto G, Notarbartolo A. Extreme thrombocytosis as a sign of coeliac disease in the elderly: case report.Eur J Gastroenterol Hepatol. 2002;14(8):897-900. [DOI:10.1097/00042737-200208000-00017] [PMID]
26. Patwari A, Anand V, Kapur G, Narayan S. Clinical and nutritional profile of children with celiac disease. Indian J Pediatr. 2003;40(4):337-42. [PMID]
27. Dupond J, de Wazieres B, Flausse-Parrot F, Fest T, Morin G, Closs F, et al. Thrombocytosis of celiac disease in adults: a diagnostic and prognostic marker? Presse Med. 1993;22(29):1344-6. [PMID]
28. Mauro A, Casini F, Talenti A, Di Mari C, Benincaso AR, Di Nardo G, et al. Celiac crisis as the life-threatening onset of celiac disease in children: a case report. FRONT PEDIATR.2023;11:1163765. [DOI:10.3389/fped.2023.1163765] [PMID] []
29. Stenhammar L, Ljunggren C. Thrombocytopenic purpura and coeliac disease. Acta Paediatr.1988;77(5):764-6. [DOI:10.1111/j.1651-2227.1988.tb10749.x] [PMID]
30. Guarina A, Marinoni M, Lassandro G, Saracco P, Perrotta S, Facchini E, et al. Association of immune thrombocytopenia and celiac disease in children: a retrospective case control study.Turk J Pediatr. 2021;38(3):175. [DOI:10.4274/tjh.galenos.2021.2021.0128] [PMID] []

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