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Virtut Velmishi.  First Child  Normal pregnancy  Birth weight= 3kg  Exclusive breastfeeding for 6 months  Complementary foods after this period.

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Presentation on theme: "Virtut Velmishi.  First Child  Normal pregnancy  Birth weight= 3kg  Exclusive breastfeeding for 6 months  Complementary foods after this period."— Presentation transcript:

1 Virtut Velmishi

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3  First Child  Normal pregnancy  Birth weight= 3kg  Exclusive breastfeeding for 6 months  Complementary foods after this period  Until 12 months everything ok

4  Chronic diarrhea  Malnutrition  Failure to thrive  2 hospitalisations  Dermatitis ( treated several times by dermatologist)

5 WBC=12000; RBC= ;HGB=7.7g/dl; PLT= Urinary analisis = normal albuminemia=1,9 AST=123 U/L ALT=88 U/L IgA anti TTG> 100 UI /ml Totale IgA =normal Weight=7,5 kg(-2,5DS) Height=79cm(-2DS)

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11  First child  Birth weight =3400 g  Normal pregnancy, normal delivery  Exclusive breast fed first month  After she is fed by formula milk  3 ½ month supplemental foods ( gluten also)  2 hospitalizations: - 2 months : respiratory infection - 4 months : acute gastroenteritis  No familiary disease

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13  WBC=12000; RBC= ;HGB=9.7g/dl; PLT=  Urinary analisis = normal IgA anti DPG=107 u/ml Total IgA=normal Totale IgA=108 u/ml

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15 Marsh 3 C

16 Gluten free diet

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18  Polyuria  Polydipsia  Glycaemia=459 mg/dl  Ketonuria=  Kussmal respiration  Ph=7.1; HCO3= 4.4 ; HbA1C = 7.4

19  Diabetic ketoacidosis Coeliac disease association: T1DM

20  …some authors hypothized that in genetically susceptible patients one disease could predispose to another  … in patients with T1D, diabetes is usually diagnosed first, CD precedes diabetes onset only in 10-25%


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