Importance of celiac disease oral manifestations in pediatric patients:A systematic review  

作　　者：Viviana Macho Rita Rodrigues Diana Pinto Rita Castro Cátia Carvalho Silva Cristina Cardoso Silva Sandra Clara Soares 

机构地区：[1]Faculty of Health Sciences,University Fernando Pessoa,Porto 4249-004,Portugal

出　　处：《World Journal of Clinical Pediatrics》2025年第2期126-136,共11页世界临床儿科杂志(英文)

摘　　要：BACKGROUND Celiac disease(CD)is an autoimmune disease triggered by the ingestion of gluten in genetically predisposed individuals.It is more commonly diagnosed in children presenting typical clinical signs and symptoms but most of the CD patients diagnosed in the developed world are silent cases with no prominent gastrointestinal features.Thus,there are silent forms of the disease in which oral manifestations are the first sign.In the pediatric population oral health can affect growth and self-esteem and have a negative impact in their life quality.AIM To assess the prevalence and types of oral manifestations in pediatric patients with CD.METHODS We performed a comprehensive literature search in PubMed,Scielo,Cochrane Library and Lilacs databases from 2014-2024.Three independent researchers screened and extracted the information,applying the eligibility criteria and bias was assessed using Joanna Briggs Institute tools.RESULTS Of the initial 241 articles,14 studies fulfilled the proposed objectives and were included in the review.The main oral manifestations found were recurrent aphthous stomatitis and enamel defects.Additionally,delayed tooth eruption,angular cheilitis,glossodynia and xerostomia were also reported.CONCLUSION Assessing oral manifestations is crucial,especially in underdiagnosed cases of children with CD.Recognizing these signs helps pediatricians or general practitioners identify them during routine exams,enabling early diagnosis and treatment to prevent negative impacts on the child’s and family’s quality of life.

关 键 词：Oral manifestations Celiac disease Pediatric dentistry Enamel defects Oral aphthous 

分 类 号：R73[医药卫生—肿瘤]