In this issue of The Journal (p. 308) there appears an article on the celiac syndrome or malabsorption in the pediatric age group. There are not many other subjects which have led to so much controversy and skepticism because of the wide-spread and often indiscriminate application of the term "celiac disease" to any child with chronic diarrhea or other manifestations of intestinal malabsorption. A good deal of the pall overlying this subject will be lifted if it is realized that we are dealing in reality with not one but many different disease entities presenting similar clinical manifestations.
A list of the disorders presenting intestinal malabsorption in children with its consequent malnutrition, abnormal stools, distended abdomen, and secondary vitamin deficiencies includes gluten-induced enteropathy, idiopathic celiac disease, cystic fibrosis of the pancreas, exudative enteropathy, and many other conditions including enteric and parenteral infections.
An important landmark in the advance of our knowledge
THE CELIAC SYNDROME. JAMA. 1962;180(4):322–323. doi:10.1001/jama.1962.03050170054012
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