<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1139-7632</journal-id>
<journal-title><![CDATA[Pediatría Atención Primaria]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pediatr Aten Primaria]]></abbrev-journal-title>
<issn>1139-7632</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Pediatría de Atención Primaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1139-76322016000200007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Enfermedad celíaca: ¿qué características tienen nuestros pacientes en el momento del diagnóstico?]]></article-title>
<article-title xml:lang="en"><![CDATA[Celiac disease: what characteristics our patients have at the time of diagnosis?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez de Zabarte Fernández]]></surname>
<given-names><![CDATA[José Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Romero]]></surname>
<given-names><![CDATA[Ruth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ros Arnal]]></surname>
<given-names><![CDATA[Ignacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Campos]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ubalde Sainz]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Miguel Servet Unidad de Gastroenterología y Nutrición Pediátrica ]]></institution>
<addr-line><![CDATA[Zaragoza Zaragoza]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Salud Actur Norte  ]]></institution>
<addr-line><![CDATA[Zaragoza Zaragoza]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<volume>18</volume>
<numero>70</numero>
<fpage>141</fpage>
<lpage>149</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322016000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322016000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322016000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  la enfermedad celíaca es una patología crónica que con frecuencia presenta los primeros síntomas en la edad pediátrica. En los últimos años ha aumentado el número de diagnósticos, a la vez que se ha reducido la edad a la que se realizan estos.  Material y métodos:  estudio descriptivo de los antecedentes y las características epidemiológicas, clínicas y diagnósticas de 102 pacientes controlados por enfermedad celíaca en un hospital de tercer nivel.  Resultados:  el 41,4% son varones y el 58,6% mujeres, la mayor parte de etnia caucásica (94,1%). El 9,8% tienen al menos un familiar de primer grado celíaco, y el 6,9% de segundo grado. La edad media al diagnóstico es 42,8 ± 35,9 meses. El 89,2% presentaban algún síntoma al diagnóstico, mientras en el 10,8% restante el diagnóstico se obtuvo en el cribado de celiaquía por presentar otra patología asociada. Síntomas más frecuentes: pérdida de peso (58%), diarrea (52%), hiporexia (40%), distensión abdominal (24%), alteración del carácter (15%), hábito malabsortivo (13%) y dolor abdominal (12%). Estudio serológico: el 95% presentó anticuerpos antitransglutaminasa positivos, el 85,2% antiendomisio positivos, el 88,4% antigliadina IgG positivos. Estudio del sistema de antígenos leucocitarios humanos (HLA): 97% DQ2, 2% DQ8. Se realizó biopsia duodenal al 62,8% (3% Marsh I, 5% Marsh II, 17% Marsh IIa, 17% Marsh IIIb, 58% Marsh IIIc).  Conclusiones:  el mayor conocimiento de la enfermedad celíaca podría haber influido en la baja edad media al diagnóstico en la muestra. La aplicación de los criterios diagnósticos de la ESPGHAN de 2012 ha permitido diagnosticar a un relevante número de pacientes sin realizar biopsia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  celiac disease is a chronic pathology that often presents the first symptoms in childhood. Diagnoses of celiac disease have increased in recent years, while it has reduced the age at which they are performed.  Methods:  102 patients with celiac disease controlled in a tertiary hospital. Descriptive study of personal history, epidemiology, symptoms and diagnosis.  Results:  41.4% were male and 58.6% female, most of Caucasians (94.1%). 9.8% had at least one first-degree relative celiac, and 6.9% in second degree. The average age at diagnosis is 42.8±35.9 months. 89.2% had symptoms at the moment of diagnosis, while the remaining 10.8% was obtained in the diagnosis of celiac disease screening to present other associated pathology. Common symptoms: weight loss (58%), diarrhea (52%), lack of appetite (40%), abdominal distension (24%), alteration of the character (15%), malabsorptive habit (13%) and abdominal pain (12%). Serological study: 95% positive transglutaminase antibodies, 85.2% positive endomysial antibodies, 88.4% positive anti-gliadin IgG antibodies. HLA study: 97% DQ2, DQ8 2%. Duodenal biopsy was performed to 62.8% (3% Marsh I, 5% Marsh II, 17% IIa Marsh, 17% Marsh IIIb, 58% IIIc Marsh).  Conclusions:  Increased knowledge about celiac disease among general pediatricians may have influenced the low average age at diagnosis in our sample. The application of diagnostic criteria ESPGHAN 2012 have allowed a significant number diagnoses patients without performing a biopsy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Enfermedad celíaca]]></kwd>
<kwd lng="es"><![CDATA[Enteropatía por gluten]]></kwd>
<kwd lng="es"><![CDATA[Dieta sin gluten]]></kwd>
<kwd lng="en"><![CDATA[Celiac disease]]></kwd>
<kwd lng="en"><![CDATA[Gluten enteropathy]]></kwd>
<kwd lng="en"><![CDATA[Gluten free diet]]></kwd>
</kwd-group>
</article-meta>
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