Reply to Nephew with celiac - what is fair/appropriate when visiting grandma?

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[quote=Anonymous]It can be definitively diagnosed at any age by mucosal biopsy. 2 years old would not be that unusual.

More than you wanted to know, from eMedicine (good site for epidemiology and other characteristics of various illnesses):

[quote]Celiac disease is most prevalent in Western Europe and the United States, with an increasing incidence in Africa and Asia. Females are affected slightly more than males.

The age distribution of patients with celiac disease is bimodal, the first at 8-12 months and the second in the third to fourth decades. The mean age at diagnosis is 8.4 years (range, 1-17 y).

Celiac disease might become apparent in infants when gluten ingestion begins. Symptoms of celiac disease might persist throughout childhood if untreated but usually diminish in adolescence. Symptoms often reappear in early adulthood, between the third and fourth decades of life.

Approximately 20% of patients with celiac disease are older than 60 years.[12]

Adolescents with celiac disease frequently present with extraintestinal manifestations, including short stature, behavioral problems, fatigue, and skin problems. The diagnosis of celiac disease is often not established until middle age or old age.[/quote][/quote]

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