Manifestaciones bucales de la enfermedad celíaca en pacientes geriátricos consumidores de gluten

Abstract

Foundation: Celiac disease is a chronic inflammatory and autoimmune disease that affects genetically susceptible individuals due to a permanent intolerance to gluten. Celiac patients present a variety of clinical symptoms, and the oral cavity shows numerous alterations related to this disease.Objective: to identify the oral clinical manifestations of celiac disease in geriatric patients who consume gluten.Methods: descriptive and cross-sectional study, with 40 geriatric patients with a diagnosis and prescription of celiac disease by gastroenterology specialists, confirmed by clinical, serological, genetic and histopathological findings; who were referred to the stomatological consultation of the Specialty Polyclinic of the Saturnino Lora Torres Hospital, in Santiago de Cuba. An intraoral examination was performed, along with a description of the oral lesions and their clinical diagnosis. The studied variables were: age, sex, anatomical location, oral clinical signs and symptoms of the disease.Results: In the analyzed series, the female sex and the age group from 60 to 74 years predominated. Recurrent aphthous ulcer was the most frequent oral clinical sign related to celiac disease, followed by geographic tongue; pain, the most affected clinical symptom; and the dorsum of the tongue, the most observed location.Conclusions: The most relevant oral clinical manifestations in geriatric patients with celiac disease were recurrent aphthous ulcer and geographic tongue.

Keywords

• enfermedades autoinmunes
• enfermedad celíaca
• manifestaciones bucales
• estomatitis aftosa
• glositis migratoria benigna