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The relationship between the presence of gastrointestinal symptoms and anemia, thyroid functions and bone mineral density in celiac patients

机译：胃肠道症状与贫血，甲状腺功能和骨矿物质密度的关系

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The relationship between the presence of gastrointestinal symptoms and anemia, thyroid functions and bone mineral density in celiac patients Ramazan Dertli sup1/sup, Yusuf Kayar sup1/sup, Neslihan Surmeli sup2/sup, Mehmet Ali Bilgili sup3/sup, Ahmet Karakarcayildiz sup4/sup, Nur Duzen Oflas sup5/sup, Nurettin Kurt sup6/sup sup1/supVan Education And Research Hospital, Department Of Internal Diseases, Division Of Gastroenterology, Van, Turkey sup2/supVan Yüzüncü Y?l University, Faculty Of Health Sciences, Nutrition And Dietetics Department, Van, Turkey sup3/supVan Education And Research Hospital, Department Of Emergency, Van, Turkey sup4/supMus State Hospital, Mus, Turkey sup5/supVan Yuzuncu Y?l University, Department Of Internal Medicine, Van, Turkey sup6/supVan Education And Research Hospital, Department Of Anesthesiology And Reanimation, Van, Turkey INTRODUCTION: The prevalence of typical celiac patients decreases gradually with the investigation of patients presenting with non-gastrointestinal symptoms (non-GIS) like anemia, thyroid dysfunction, liver function test anomalies and dermatitis herpetiformis. The diagnosis of atypical and subclinical celiac has also increased due to the development of immunological and genetic tests. The aim of our study is to determine the relationship between the presence of GIS and anemia, thyroid functions, and bone mineral density in celiac patients. METHODS: The study included 230 celiac patients who were diagnosed and followed-up in our clinics between 2015-2019. The demographic and anthropometric characteristics, initial presentation complaints, disease durations, dietary compliance of the patients were documented. Presence of anemia, thyroid functions, bone mineral density were documented and its relationship with presence of GIS was analyzed. RESULTS: The age range of the patients was 18-65 years, and the mean age was 33,4±10,6 years. A total of 170(73.9%) patients were female and the duration of disease follow-up was 4,8±3,5 years. Osteoporosis/osteopenia was found in 146(63,5%) patients, anemia was found 65(28.3%) and thyroid disfunction was found 58(25.2%). Patients without GIS were significantly more anemic than patients with GIS (39.1%, 24.1% respectively) (p0.05). In terms of thyroid function tests, the rates were similar in both groups and there wasn't significant difference (p0.05). Osteoporosis was significantly higher in patients with GIS (p0.05). DISCUSSION AND CONCLUSION: The number of patients with atypical celiac disease is increasing. Celiac disease should be considered in patients presenting with unexplained anemia, a history of thyroid disease, and abnormal bone density.
机译：腹腔疾病患者的胃肠道症状与贫血，甲状腺功能和骨矿物质密度的关系Ramazan Dertli 1 ，Yusuf Kayar 1 ，Neslihan Surmeli 2 ，Mehmet Ali Bilgili 3 ，Ahmet Karakarcayildiz 4 ，Nur Duzen Oflas 5 ，Nurettin Kurt 6 1 范恩教育与研究医院，土耳其范内肠胃科，内脏科 2 范范祖祖尔耶尔大学，卫生科学学院，营养与营养学系，范，土耳其 3 范教育与研究医院，急诊室，土耳其范，土耳其 4 穆斯州立医院，土耳其穆斯， 5 范·尤尊库是吗？ l大学，土耳其范市内科系 6 范教育与研究医院，土耳其范市麻醉与复活科简介：典型的腹腔疾病患者的患病率随着年龄的增长而逐渐降低。表现出非胃肠道症状（非GIS）（如贫血，甲状腺功能异常，肝功能检查异常和疱疹样皮炎）的患者的调查。由于免疫学和遗传学检查的发展，非典型和亚临床腹腔的诊断也有所增加。我们研究的目的是确定乳糜泻患者中GIS的存在与贫血，甲状腺功能和骨矿物质密度之间的关系。方法：该研究纳入了2015年至2019年间在我们诊所诊断并随访的230例腹腔疾病患者。记录了患者的人口统计学和人体测量学特征，初次就诊投诉，疾病持续时间，饮食依从性。记录贫血的存在，甲状腺功能，骨矿物质密度，并分析其与GIS的关系。结果：患者年龄范围为18-65岁，平均年龄为33,4±10,6岁。共有170名（73.9％）患者为女性，疾病随访时间为4.8±3.5年。检出骨质疏松症/骨质减少症146（63.5％），发现贫血65（28.3％），发现甲状腺功能障碍58（25.2％）。没有GIS的患者贫血明显比有GIS的患者（分别为39.1％，24.1％）（p <0.05）。就甲状腺功能检查而言，两组的比率均相似，且无显着差异（p> 0.05）。 GIS患者的骨质疏松症明显更高（p <0.05）。讨论与结论：非典型性腹腔疾病的患者人数正在增加。患有无法解释的贫血，甲状腺疾病史和异常骨密度的患者应考虑腹腔疾病。

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