CELIAC DISEASE: A SYSTEMATIC REVIEW OF IMMUNOPATHOLOGICAL, DIAGNOSTIC, AND THERAPEUTIC ASPECTS

Authors

  • Michelle Ribeiro dos Santos Author
  • Lara Dorneles Saud Author
  • Ana Clara Silveira Silva e Souza Author
  • Ghabrielly Vitória Rodrigues Santos Author
  • Maria Eugênia Alves Martins de Araújo Tristão Author

DOI:

https://doi.org/10.56238/levv16n54-005

Keywords:

Celiac Disease, Pediatrics, Clinical Manifestations

Abstract

Objective: The central purpose of this study lies in the analysis of academic production concerning Celiac Disease, with the aim of elucidating its main clinical manifestations, the most recurrent comorbidities and the predominant therapeutic methods used in the management of this disease. Methodology: This is a systematic review aimed at understanding the fundamental aspects of Celiac Disease. The investigation was guided by the following question: “What are the clinical manifestations, associated pathologies and treatment strategies for Celiac Disease in pediatric patients, in light of the evidence available in the scientific literature?” To answer this question, searches were carried out in the PubMed database, using three descriptors combined using the Boolean operator “AND”. The research resulted in 268 publications, of which 17 were selected to compose the analytical corpus. Results: Celiac Disease (CD) is an immune-mediated disease that compromises the gastrointestinal tract and can trigger a variety of symptoms, including extraintestinal manifestations. The diagnosis is established through serological tests and biopsies, with the exclusion of gluten from the diet being the only proven effective treatment. Strict adherence to the gluten-free diet is essential for clinical recovery, although adherence may vary between patients, directly influencing long-term health. Conclusion: CD is correlated with other diseases of an autoimmune and genetic nature, requiring continuous clinical monitoring and multidisciplinary support to ensure the complete well-being of affected individuals.

Downloads

Download data is not yet available.

References

BEN HOUMICH, Taoufik; ADMOU, Brahim. Celiac disease: understandings in diagnostic, nutritional, and medicinal aspects. International Journal of Immunopathology and Pharmacology, v. 35, p. 20587384211008709, 2021. DOI: https://doi.org/10.1177/20587384211008709

CHANG, Denis et al. Review article: becoming and being coeliac—special considerations for childhood, adolescence and beyond. Alimentary Pharmacology & Therapeutics, v. 56, supl. 1, p. S73-S85, 2022. DOI: https://doi.org/10.1111/apt.16851

FREEMAN, Hugh James. Iron deficiency anemia in celiac disease. World Journal of Gastroenterology: WJG, v. 21, n. 31, p. 9233, 2015. DOI: https://doi.org/10.3748/wjg.v21.i31.9233

JAFARI, Erfaneh et al. Celiac disease: a review from genetic to treatment. Iranian Biomedical Journal, v. 28, n. 1, p. 8, 2024. DOI: https://doi.org/10.61186/ibj.4028

LUPU, Vasile Valeriu et al. Advances in understanding the human gut microbiota and its implication in pediatric celiac disease—a narrative review. Nutrients, v. 15, n. 11, p. 2499, 2023. DOI: https://doi.org/10.3390/nu15112499

LUPU, Vasile Valeriu et al. Celiac disease—a pluripathological model in pediatric practice. Frontiers in Immunology, v. 15, p. 1390755, 2024. DOI: https://doi.org/10.3389/fimmu.2024.1390755

MARTÍN-MASOT, Rafael et al. Metabolomic profiling in children with celiac disease: beyond the gluten-free diet. Nutrients, v. 15, n. 13, p. 2871, 2023. DOI: https://doi.org/10.3390/nu15132871

PASSANISI, Stefano; DIPASQUALE, Valeria; ROMANO, Claudio. Vaccinations and immune response in celiac disease. Vaccines, v. 8, n. 2, p. 278, 2020. DOI: https://doi.org/10.3390/vaccines8020278

PERSECHINO, Flavia et al. Skin manifestations and coeliac disease in paediatric population. Nutrients, v. 13, n. 10, p. 3611, 2021. DOI: https://doi.org/10.3390/nu13103611

PODDIGHE, Dimitri et al. Celiac disease in juvenile idiopathic arthritis and other pediatric rheumatic disorders. Journal of Clinical Medicine, v. 11, n. 4, p. 1089, 2022. DOI: https://doi.org/10.3390/jcm11041089

PODDIGHE, Dimitri; KUSHUGULOVA, Almagul. Salivary microbiome in pediatric and adult celiac disease. Frontiers in Cellular and Infection Microbiology, v. 11, p. 625162, 2021. DOI: https://doi.org/10.3389/fcimb.2021.625162

SABINO, Luca et al. Celiac disease and headache in children: a narrative state of the art. Acta Bio Medica: Atenei Parmensis, v. 91, n. 3, p. e2020056, 2020.

SAHIN, Yasin. Celiac disease in children: a review of the literature. World Journal of Clinical Pediatrics, v. 10, n. 4, p. 53, 2021. DOI: https://doi.org/10.5409/wjcp.v10.i4.53

SCAPATICCI, Serena et al. MAFLD and celiac disease in children. International Journal of Molecular Sciences, v. 24, n. 2, p. 1764, 2023. DOI: https://doi.org/10.3390/ijms24021764

SUN, Yanhong et al. Relationship between vitamin D levels and pediatric celiac disease: a systematic review and meta-analysis. BMC Pediatrics, v. 24, n. 1, p. 185, 2024. DOI: https://doi.org/10.1186/s12887-024-04688-0

TORUN, Anna et al. Intestinal microbiota in common chronic inflammatory disorders affecting children. Frontiers in Immunology, v. 12, p. 642166, 2021. DOI: https://doi.org/10.3389/fimmu.2021.642166

VOLTA, Umberto; BAI, Julio Cesar; DE GIORGIO, Roberto. The role of serology in the diagnosis of coeliac disease. Gastroenterology and Hepatology From Bed to Bench, v. 16, n. 2, p. 118, 2023.

Published

2025-11-03

How to Cite

DOS SANTOS , Michelle Ribeiro; SAUD, Lara Dorneles; SILVA E SOUZA, Ana Clara Silveira; SANTOS, Ghabrielly Vitória Rodrigues; TRISTÃO, Maria Eugênia Alves Martins de Araújo. CELIAC DISEASE: A SYSTEMATIC REVIEW OF IMMUNOPATHOLOGICAL, DIAGNOSTIC, AND THERAPEUTIC ASPECTS. LUMEN ET VIRTUS, [S. l.], v. 16, n. 54, p. e9533 , 2025. DOI: 10.56238/levv16n54-005. Disponível em: https://periodicos.newsciencepubl.com/LEV/article/view/9533. Acesso em: 5 dec. 2025.