IgA antigliadin antibodies as a screening method for nonovert celiac disease in children with insulin-dependent diabetes mellitus

被引:36
作者
Calero, P
RibesKoninckx, C
Albiach, V
Carles, C
Ferrer, J
机构
[1] LA FE CHILDRENS HOSP,GASTROENTEROL UNIT,E-46009 VALENCIA,SPAIN
[2] LA FE CHILDRENS HOSP,ENDOCRINOL UNIT,E-46009 VALENCIA,SPAIN
关键词
celiac disease; insulin-dependent diabetes mellitus; antigliadin antibodies;
D O I
10.1097/00005176-199607000-00006
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
One hundred forty-one children with insulin-dependent diabetes mellitus were screened for serum immunoglobulin A (IgA) antigliadin antibodies by means of an enzyme-linked immunosorbent assay (ELISA) method. None of them had gastrointestinal symptoms, and no major nutritional disturbances were detected except for a girl with moderate growth delay. Twelve patients with positive IgA antigliadin antibodies on two or more consecutive measurements underwent a small intestinal biopsy; four of them had a subtotal villous atrophy, and celiac disease was diagnosed; in another patient, a partial villous atrophy was observed. Children suffering from both diabetes and celiac disease showed an onset of diabetes at a younger age than did nonceliac patients. Prevalence of celiac disease in the screened population is 2.85%, which is higher than in the general population of the Comunidad Valenciana (one in 2,500 live births).
引用
收藏
页码:29 / 33
页数:5
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