<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182020000400949</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Enfermedad Celíaca en el adulto. Un reto en el nuevo milenio]]></article-title>
<article-title xml:lang="en"><![CDATA[Celiac disease in adulto. A challenge in the new millennium]]></article-title>
<article-title xml:lang="pt"><![CDATA[Doença celíaca em adultos. Um desafio no novo milênio]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brizuela Labrada.]]></surname>
<given-names><![CDATA[Oleydis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villadoniga Reyes.]]></surname>
<given-names><![CDATA[Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santisteban Sánchez.]]></surname>
<given-names><![CDATA[Hugo Norge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soler Otero.]]></surname>
<given-names><![CDATA[José Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Facultad de Ciencias Médicas Celia Sánchez Manduley ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico Quirúrgico Docente Celia Sánchez Manduley  ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>4</numero>
<fpage>949</fpage>
<lpage>968</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182020000400949&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182020000400949&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182020000400949&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La enfermedad celíaca una afección autoinmune producida por intolerancia alimentaria permanente al gluten y prolaminas con carácter genético. Uno de los problemas de esta enfermedad en el adulto es el infra diagnóstico, ya que por cada caso diagnosticado hay un promedio de cinco casos sin diagnosticar, debido a la sintomatología atípica, mínima, o incluso ausente. Por ello se realiza una revisión del tema con el objetivo de describir la enfermedad celíaca en el adulto y proporcionar elementos para su diagnóstico en pacientes con síntomas sugestivos. Para la obtención de la información se efectuó una búsqueda en bases de datos bibliográficas de literatura científica de la BVS de Cuba como PubMed/Medline y Lilacs. También se consultaron algunas fuentes de información disponibles a texto completo como Clinical Key, Cochrane Library, Ebsco y SciELO Cuba. Se realizó además una búsqueda en internet de portales de instituciones de reconocido prestigio en el ámbito sanitario como la World Gastroenterology Organisation, Instituto Nacional de Gastroenterología de Cuba, documentos oficiales de la Organización Mundial de la Salud, entre otras y se llegó a la conclusión quela Enfermedad Celíaca requiere un alto índice de sospecha clínica, el diagnóstico debe basarse en la presencia de alguno o varios síntomas relacionados con la afectación intestinal o de cualquiera de los órganos o sistemas asociados, en Cubano existen datos epidemiológicos de la enfermedad en adultos, por lo que es necesario la implementación de un protocolo para el diagnóstico de estos pacientes, pues el retraso o ausencia en el diagnóstico tiene consecuencias para la salud del individuo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Celiac disease is an autoimmune condition caused by permanent food intolerance to gluten and genetic prolamins. One of the problems of this disease in the adult is the infra diagnosis, since for each case diagnosed there is an average of five cases without diagnosis, due to the atypical, minimal, or even absent symptomatology. Therefore, a review of the subject is carried out with the objective of describing celiac disease in adults and providing elements for diagnosis in patients with suggestive symptoms. To obtain the information, a search was made in bibliographic databases of scientific literature of the VHL of Cuba as PubMed / Medline and Lilacs. Some sources of information available in full text such as Clinical Key, Cochrane Library, Ebsco and SciELO Cuba were also consulted. An internet search was also carried out on portals of institutions of recognized prestige in the healthcare field such as the World Gastroenterolog and Organization, National Institute of Gastroenterology of Cuba, official documents of the World Health Organization, among others and the conclusion was reached that Celiac Disease requires a high index of clinical suspicion, The diagnosis must be based on the presence of any or several symptoms related to intestinal involvement or any of the associated organs or systems, in Cuba there are epidemiological data of the disease in adults, so it is necessary to implement a protocol for the diagnosis of these patients, because the delay or absence in the diagnosis has consequences for the health of the individual.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO A doença celíaca é uma condição auto-imune causada pela intolerância alimentar permanente ao glúten e prolaminas com caráter genético. Um dos problemas desta doença em adultos é o subdiagnóstico, pois para cada caso diagnosticado há uma média de cinco casos não diagnosticados, devido a sintomas atípicos, mínimos ou até ausentes. Por esse motivo, é realizada uma revisão do assunto com o objetivo de descrever a doença celíaca em adultos e fornecer elementos para seu diagnóstico em pacientes com sintomas sugestivos. Para obter as informações, foi realizada uma busca em bancos de dados bibliográficos da literatura científica da BVS de Cuba, como PubMed / Medline e Lilacs. Algumas fontes de informações em texto completo também foram consultadas, como Clinical Key, Cochrane Library, Ebsco e SciELO Cuba. Também foi realizada uma busca na Internet por portais de instituições de reconhecido prestígio no campo da saúde, como a Organização e Gastroenterologia Mundial, o Instituto Nacional de Gastroenterologia de Cuba, documentos oficiais da Organização Mundial da Saúde, entre outros, e foi concluído A doença celíaca requer um alto índice de suspeita clínica, o diagnóstico deve ser baseado na presença de um ou mais sintomas relacionados ao envolvimento intestinal ou a qualquer um dos órgãos ou sistemas associados; em Cuba, existem dados epidemiológicos da doença em adultos, motivo pelo qual é necessária a implementação de um protocolo para o diagnóstico desses pacientes, uma vez que o atraso ou ausência no diagnóstico tem consequências para a saúde do indivíduo.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Enfermedad celíaca]]></kwd>
<kwd lng="es"><![CDATA[Adulto, Enteropatía por gluten]]></kwd>
<kwd lng="en"><![CDATA[Celiac disease]]></kwd>
<kwd lng="en"><![CDATA[Adult, Gluten Enteropathy]]></kwd>
<kwd lng="pt"><![CDATA[Doença celíaca]]></kwd>
<kwd lng="pt"><![CDATA[Adulto, Enteropatia do Glúten]]></kwd>
</kwd-group>
</article-meta>
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