Giardiasis Presenting as Isolated Short Stature: A Case Report
Shalini Agarwal, Mansi Faujdar
Keywords :
Celiac disease, Giardiasis, Short stature
Citation Information :
Agarwal S, Faujdar M. Giardiasis Presenting as Isolated Short Stature: A Case Report. Ann Pediatr Gastroenterol Hepatol 2023; 5 (2):25-26.
A 6-year-old girl was brought with complaints of poor weight gain and poor appetite for the past 2 years. Her weight and height lay below the 5th percentile for age as per the World Health Organization (WHO) growth chart. The mid-parental height lay between the 75th and 95th percentile, and thus, the child was evaluated for pathological short stature. She was found to have microcytic hypochromic anemia and positive celiac serology [anti-tissue transglutaminase (tTG) antibody >70 AU/mL]. Celiac disease was suspected, and an endoscopic duodenal biopsy was done, which showed a large number of Giardia organisms with lymphoid nodules formation. Antimicrobials were started for giardiasis, and no dietary restrictions were done. On the 3-month follow-up, weight and height increased, appetite improved, and celiac serology was negative (anti-tTG antibody <3 AU/mL).
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