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Clinical Pediatrics
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Two Cases Presenting With Pubertal Delay and Diagnosed as Celiac Disease

Ayhan Abaci, MD

Department of Pediatric Endocrinology, Dokuz Eylul University

Ihsan Esen, MD

Department of Pediatrics, Dokuz Eylul University

Tolga Unuvar, MD

Department of Pediatric Endocrinology, Dokuz Eylul University

Nur Arslan, MD

Division of Pediatric Gastroenterology, Hepatology and Nutrition Faculty of Medicine, Dokuz Eylul University, Inciralti-Izmir, Turkey

Ece Bober, MD

Department of Pediatric Endocrinology, Dokuz Eylul University, ece.bober{at}deu.edu.tr

Pubertal delay may be due to underlying chronic diseases and primary endocrine diseases. Celiac disease, one of the common malabsorption disorders of childhood, may progress silently in some cases, and the cases diagnosed late present with growth failure or disturbance of pubertal development. Currently, due to the changing face of celiac disease, patients are being diagnosed in adolescence with atypical symptoms and findings. This study describes 2 patients aged 13 and 16 years who presented with pubertal delay and who were diagnosed with celiac disease, concluding that routine screening of celiac disease in the differential diagnosis of delayed puberty should be recommended.

Key Words: celiac disease • delayed puberty • short stature

Clinical Pediatrics, Vol. 47, No. 6, 607-609 (2008)
DOI: 10.1177/0009922808316185
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