Doença Celíaca no Idoso

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DOI:

https://doi.org/10.24950/R/293/20/2/2021

Palavras-chave:

Doença Celíaca, Idoso

Resumo

A doença celíaca é um distúrbio crónico e autoimune que pode surgir em qualquer idade. Atualmente, um quarto dos novos diagnósticos ocorre depois dos 60 anos de idade. A apresentação clínica subtil com défices de micronutrientes e osteopenia ou osteoporose, associada à subvalorização médica desta hipótese, leva ao seu subdiagnóstico neste grupo etário. A doença celíaca na idade avançada pode ter maior risco de associação a doenças autoimunes, linfoproliferativas e cardiovasculares, com impacto na morbimortalidade. A adesão à dieta sem glúten não parece ser problemática e a qualidade de vida aparenta não diminuir. É essencial um seguimento multidisciplinar adaptado ao doente. Nesta revisão, sistematiza-se a evidência atual da doença celíaca no idoso incluindo epidemiologia, fisiopatologia, manifestações clínicas, diagnóstico e abordagem terapêutica, com o objetivo de consciencializar e reduzir o atraso no seu diagnóstico.

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Publicado

18-06-2021

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1.
Rato B, Teixeira Veríssimo M. Doença Celíaca no Idoso. RPMI [Internet]. 18 de Junho de 2021 [citado 30 de Maio de 2024];28(2):175-83. Disponível em: https://revista.spmi.pt/index.php/rpmi/article/view/64

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