{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:10:01Z","timestamp":1777907401409,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T00:00:00Z","timestamp":1613001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Atypical coeliac disease in young children is frequently missed when it presents atypically as non-gastrointestinal presentations to different specialties. There was a greater delay (54\u00a0months) in establishing the diagnosis in those with atypical coeliac disease (p\u2009&lt;\u20090.001). No difference was observed in the mode of delivery or duration of breast feeding, but significant difference was observed between gestational age at birth (p\u2009&lt;\u20090.001). Most cases showed stunted growth and underweight. Irritability, anaemia, rickets, dermatitis herpetiformis, alopecia and intussusception were other common predictors of atypical coeliac disease. Because of a myriad spectrum of non-gastrointestinal symptoms, at any age with diverse presentation, a high index of suspicion is therefore required.<\/jats:p>","DOI":"10.1177\/0049475521991348","type":"journal-article","created":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T07:22:30Z","timestamp":1613200950000},"page":"309-314","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Coeliac disease presenting atypically: A much wider spectrum"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2530-599X","authenticated-orcid":false,"given":"Avinash","family":"Lomash","sequence":"first","affiliation":[{"name":"PhD Scholar, Genetic Division, Department of Pediatrics, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhinaya","family":"Venkatakrishnan","sequence":"additional","affiliation":[{"name":"Senior Resident, Department of Pediatrics, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meenakshi","family":"Bothra","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Pediatrics, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhavna","family":"Dhingra","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Pediatrics, All India Institute of Medical Sciences, Bhopal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2823-3220","authenticated-orcid":false,"given":"Praveen","family":"Kumar","sequence":"additional","affiliation":[{"name":"Director Professor, Department of Pediatrics, Lady Hardinge Medical College, Sucheta Kriplani Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seema","family":"Kapoor","sequence":"additional","affiliation":[{"name":"Director Professor, Genetic division, Department of Pediatrics, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,2,11]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.13270"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i41.6585"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1021956200382"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mpg.0000231589.32114.9d"},{"key":"e_1_3_5_6_2","first-page":"162","article-title":"Celiac disease: variations of presentations in adults","volume":"26","author":"Makharia GK","year":"2007","unstructured":"Makharia GK, Baba CS, Khadgawat R, et al. Celiac disease: variations of presentations in adults. Indian J Gastroenterol 2007; 26: 162\u2013166.","journal-title":"Indian J Gastroenterol"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31821a23d0"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2006.tb02378.x"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.4103\/2230-8210.159028"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-199910000-00019"},{"key":"e_1_3_5_11_2","doi-asserted-by":"crossref","unstructured":"Sapone A Bai JC Ciacci C et\u00a0al. Spectrum of gluten-related disorders: consensus on new nomenclature and classification. BMC Med 2012; 10: 13.","DOI":"10.1186\/1741-7015-10-13"},{"key":"e_1_3_5_12_2","first-page":"508","article-title":"Why celiac disease is so easy to miss","volume":"63","author":"Mavrinac MA","year":"2014","unstructured":"Mavrinac MA, Ohannessian A, Dowling EP, et al. Why celiac disease is so easy to miss. J Fam Pract 2014; 63: 508\u2013513.","journal-title":"J Fam Pract"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2018.11.013"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/75.5.914"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1400697"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1404172"},{"key":"e_1_3_5_17_2","doi-asserted-by":"crossref","unstructured":"Chibbar R and Dieleman LA. The gut microbiota in celiac disease and probiotics. Nutrients 2019; 11: 2375.","DOI":"10.3390\/nu11102375"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.2147\/CLEP.S152168"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0714.1990.tb00834.x"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.13865"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.5152\/tjg.2018.17369"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12664-014-0501-z"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.3109\/00365529409092489"},{"key":"e_1_3_5_24_2","doi-asserted-by":"crossref","unstructured":"McBride OMB Skipworth RJE Leitch D et\u00a0al. Cavitating mesenteric lymph node syndrome in association with coeliac disease and enteropathy associated T-cell lymphoma: a case report and review of the literature. Case Rep Med 2010; 2010: 1--4.","DOI":"10.1155\/2010\/478269"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475521991348","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475521991348","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475521991348","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:34:04Z","timestamp":1777642444000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475521991348"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,11]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1177\/0049475521991348"],"URL":"https:\/\/doi.org\/10.1177\/0049475521991348","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,11]]}}}