MEDIX, God. 19 Br. 107/108  •  Pregledni članak  •  Stomatologija HR ENG

Manifestacije celijakije u usnoj šupljiniOral manifestations of coeliac disease

Vanja Vučićević Boras, Irena Benčević, Hrvoje Jurić

Celijakija je autoimuna bolest tankoga crijeva koju karakterizira nepodnošenje glutena. Simptomi su bolovi u trbuhu, kronični ili rekurentni (ponavljajući) proljev, gubitak težine, zastoj u rastu, kronična anemija, osteoporoza, kronični umor, depresija i neplodnost. U usnoj šupljini se celijakija može manifestirati caklinskim defektima, amelogenesis imperfectom, rekurentnim aftoznim ulceracijama, atrofičnim glositisom i moguće oralnim lihen planusom. Manifestacije celijakije u usnoj šupljini prvi može primijetiti stomatolog i na taj način pridonijeti ranom otkrivanju bolesti, te uputiti bolesnika na daljnju obradu i liječenje. Iako manifestacije celijakije u usnoj šupljini nisu specifične, jer se mogu pojaviti i u sklopu drugih bolesti, potrebno je imati na umu kako su one mogući pokazatelj celijakije. 

Ključne riječi:
celijakija; oralne manifestacije

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Celiac disease is an autoimmune disease of the small intestine characterized by gluten intolerance. Symptoms include abdominal pain, chronic or recurrent diarrhea, weight loss, growth delay, chronic anemia, osteoporosis, chronic fatigue, depression and infertility. In the oral cavity, celiac disease can manifest itself as enamel defects, amelogenesis imperfectom, recurrent aphthous ulceration, atrophic glossitis and possible oral lichen planus. Manifestations of coeliac disease in the oral cavity are first seen and diagnosed by dentists, consequently contributing to early detection of the disease and in turn can refer patients for further treatment. Although manifestations of celiac disease in the oral cavity are not specific, as symptoms are similar to those of other diseases, it is important to take note of these symptoms as they may indicate the possibility of celiac disease. 

Key words:
celiac disease; oral manifestations