Две цитаты из публикаций прошедших лет:
подробный скрининг ростовых показателей у детей позволяет поймать всех с целиакией и задержка роста отмечается у половины еще за 2 года до постановки диагноза
Celiac disease was detected with good accuracy (area under the curve [95% CI] = 0.88 [0.84–0.93] for girls and 0.84 [0.77–0.91] for boys) when screening was performed using the combination of all 5 growth-screening parameters. When the specificity of the screening was set at 90%, growth was already abnormal in 57% of the girls with CD and 48% of the boys with CD 2 years prior to diagnosis.//JAMA 2015
Если детям с целиакией и задержкой роста ввести вовремя безглютеновую диету, то уже за первый год заметно ускорение роста:
All patients initially presented because of short stature or retarded growth (100% of patients with height less than 5th percentile). Patients showed an increased HV and WV during the first 3 years on a GFD, with maximum growth velocity occurring during the first year, but the catch-up growth was incomplete over 3 years (mean HSDS +/- SD, -1.77 +/- 0.6).
J Pediatr Gastroenterol Nutr. 1990 Oct;11(3):324-9.
Growth acceleration and final height after treatment for delayed diagnosis of celiac disease.
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Искренне,
Вадим Валерьевич.
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