Review Article

Atypical Celiac Disease: From Recognizing to Managing

Table 1

Clinical and biological revealing circumstances of atypical CD.

Atypical clinical symptoms

Anemia
Unclear vomiting
Constipation
Recurrent abdominal pain
Short stature
Irritability and impaired school performance
Impaired physical fitness and chronic fatigue
Osteopenia/osteoporosis/arthtritis
Dermatitis herpetiformis
Dental enamel hypoplasia
Recurrent aphtous stomatitis
Headache
Peripheral neuropathy
White matter lesions
Cerebellar ataxia
Epilepsy
Intracranial calcifications
Autism
Psychiatric disorders
Depression
Pubertal delay
Recurrent abortions
Infertility

Biologic abnormalities

Anemia, iron deficiency; vitamin B12 and/or folate deficiency
Hypertransaminasemia
Hyperalkaline phosphatase level
Hyperalbuminemia
Hypercalcaemia, hypophosphatemia
Thrombocytosis, leukocytosis
Coagulopathy
Low high-density and low-density lipoprotein cholesterol levels