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Celiac disease associated with aplastic anemia in a 6-year-old girl: a case report and review of the literature

Overview of attention for article published in Journal of Medical Case Reports, January 2018
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Title
Celiac disease associated with aplastic anemia in a 6-year-old girl: a case report and review of the literature
Published in
Journal of Medical Case Reports, January 2018
DOI 10.1186/s13256-017-1527-5
Pubmed ID
Authors

Omar Irfan, Sana Mahmood, Heera Nand, Gaffar Billoo

Abstract

Celiac disease may present with hematological abnormalities including long-standing anemia. Both aplastic anemia and celiac disease have a similar underlying autoimmune process but an association between the two is seldom reported. There have only been three pediatric cases reporting this association and this case is the first reported in a female pediatric patient. We report a case of 6-year-old South Asian girl presenting with bruises, petechiae, and recent history of loose stools. On evaluation, she was diagnosed as having celiac disease and was put on a gluten-free diet and further investigations including bone marrow biopsy revealed pancytopenia. She was managed with packed red cells, platelets, and diet restrictions and had improving platelet counts over yearly follow ups. Her parents were counseled regarding the need for bone marrow transplant. This is the fourth case report suggesting an association between celiac disease and aplastic anemia in the pediatric population and this association could be more common than expected. Timely intervention of either celiac disease through strict gluten-free diet or aplastic anemia through immunosuppressive therapy could potentially reduce the risk for other autoimmune conditions. We can see that all four pediatric cases reported with this potential association are from South East Asia and hence larger studies would be prudent to explore this association.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 30 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 30 100%

Demographic breakdown

Readers by professional status Count As %
Student > Doctoral Student 4 13%
Student > Ph. D. Student 4 13%
Student > Postgraduate 3 10%
Researcher 3 10%
Student > Bachelor 2 7%
Other 5 17%
Unknown 9 30%
Readers by discipline Count As %
Medicine and Dentistry 12 40%
Biochemistry, Genetics and Molecular Biology 3 10%
Nursing and Health Professions 2 7%
Business, Management and Accounting 1 3%
Psychology 1 3%
Other 1 3%
Unknown 10 33%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 February 2018.
All research outputs
#10,037,107
of 12,544,629 outputs
Outputs from Journal of Medical Case Reports
#1,128
of 2,062 outputs
Outputs of similar age
#202,425
of 271,274 outputs
Outputs of similar age from Journal of Medical Case Reports
#1
of 1 outputs
Altmetric has tracked 12,544,629 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,062 research outputs from this source. They receive a mean Attention Score of 3.2. This one is in the 21st percentile – i.e., 21% of its peers scored the same or lower than it.
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