[What elements should arouse suspicion in the physician, in his patient,]
[of a celiac disease never diagnosed before?]
Aside from the intestinal symptoms
of the disease,
especially diarrhea,
but sometimes also dyspepsia, for example,
the symptoms, particularly in women, that should
arouse suspicion of celiac disease
are a late menarche,
that is, a very late onset
of menstruation, not the normal
11 years, but we often see in our patients
15 or 16 years.
phases of amenorrhea that are not otherwise explained,
repeated abortions or infertility,
a premenopausal osteoporosis,
the early onset of osteoporosis.
And then it is particularly common in women
anemia and is particularly common
iron deficiency anemia,
sideropenic anemia.
So, the celiac disease makes the woman
more susceptible
to this disease,
which has an abnormally high frequency.
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