{"title":"Recognition and management of coeliac disease in children.","authors":"Siba Prosad Paul, Dharam Basude","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Coeliac disease (CD) is an immune-mediated systemic disorder elicited by the ingestion of gluten (found in wheat, rye, and barley) in genetically susceptible individuals. It affects around 1% of children and leads to proximal small bowel enteropathy, although many cases may remain undiagnosed. CD classically presents with gastrointestinal symptoms of diarrhoea, abdominal pain and weight loss, although other symptoms such as iron deficiency anaemia, faltering growth, dental enamel defects, short stature, liver disease, arthropathy, mouth ulcers, etc may be the presenting feature. Breastfeeding is considered to have a beneficial role in preventing CD or at least delays onset. Community practitioners should remain aware of the classical gastrointestinal and other features of CD and make an early referral to medical professionals. Suspicion of CD should lead to antibody screening tests and the diagnosis is confirmed by an intestinal biopsy. A gluten-free diet (GFD) should always be started by paediatric dietitians and they play a vital role in educating and supporting families. Strict adherence to a GFD is essential to maintain good health and to prevent development of long-term complications.</p>","PeriodicalId":85731,"journal":{"name":"The journal of family health care","volume":"23 8","pages":"28-30, 32-5"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32109566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Skin infections in children. Part 1.","authors":"Julie Van Onselen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":85731,"journal":{"name":"The journal of family health care","volume":"23 8","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32109563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Counting our blessings.","authors":"Penny Hosie","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":85731,"journal":{"name":"The journal of family health care","volume":"23 8","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32109557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The breast option?","authors":"Bibi Berki","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":85731,"journal":{"name":"The journal of family health care","volume":"23 8","pages":"14-6"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32109560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clear the airways.","authors":"Ally MacDonald","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":85731,"journal":{"name":"The journal of family health care","volume":"23 8","pages":"23-6"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32109565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Counting our blessings.","authors":"Penny Hosie","doi":"10.1016/s0140-6736(49)90011-2","DOIUrl":"https://doi.org/10.1016/s0140-6736(49)90011-2","url":null,"abstract":"","PeriodicalId":85731,"journal":{"name":"The journal of family health care","volume":"36 1","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/s0140-6736(49)90011-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55875411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Siba Prosad Paul, Krzysztof Zaborowski, Louise Caroline Alice Moakes, Manjunath K Sanjeevaiah
{"title":"At a glance: children with heart conditions in the community.","authors":"Siba Prosad Paul, Krzysztof Zaborowski, Louise Caroline Alice Moakes, Manjunath K Sanjeevaiah","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":85731,"journal":{"name":"The journal of family health care","volume":"23 7","pages":"18-21"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31993330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Community file: Tinea infection in children.","authors":"Siba Prosad Paul, Lindsay R Whittam","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":85731,"journal":{"name":"The journal of family health care","volume":"23 7","pages":"31-3"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31993334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Safeguarding their oral health.","authors":"Nigel Carter","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":85731,"journal":{"name":"The journal of family health care","volume":"23 7","pages":"13, 15-6"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31993328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Don't suffer in silence.","authors":"Bibi Berki","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":85731,"journal":{"name":"The journal of family health care","volume":"23 7","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31993406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}