Screening for coeliac disease in type 1 diabetes

被引:114
作者
Holmes, GKT [1 ]
机构
[1] Derbyshire Royal Infirm, Dept Med, Derby DE1 2QY, England
关键词
D O I
10.1136/adc.87.6.495
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The average prevalence of coeliac disease among children with diabetes mellitus in 26 reports was 4.5% (0.97-16.4%). Malabsorption, unstable diabetes, and growth failure, indicate that coeliac disease may be present. Even those who are apparently asymptomatic may have subtle complaints indicative of coeliac disease if a careful history is taken. Ill health may only be recognised in retrospect following the benefits conferred by a gluten free diet. For these reasons it is recommended that a screening programme should be instituted to detect coeliac disease in these children. Parents and where possible children themselves, should be fully involved at all stages of the screening, diagnostic, and treatment process.
引用
收藏
页码:495 / 499
页数:5
相关论文
共 65 条
[1]  
Acerini CL, 1998, DIABETIC MED, V15, P38, DOI 10.1002/(SICI)1096-9136(199801)15:1<38::AID-DIA520>3.0.CO
[2]  
2-L
[3]   The prevalence and clinical characteristics of celiac disease in juvenile diabetes in Wisconsin [J].
Aktay, AN ;
Lee, PC ;
Kumar, V ;
Parton, E ;
Wyatt, DT ;
Werlin, SL .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 2001, 33 (04) :462-465
[4]   SCREENING OF DIABETIC CHILDREN FOR CELIAC-DISEASE WITH ANTIGLIADIN ANTIBODIES AND HLA TYPING [J].
BARERA, G ;
BIANCHI, C ;
CALISTI, L ;
CERUTTI, F ;
DAMMACCO, F ;
FREZZA, E ;
ILLENI, MT ;
MISTURA, L ;
POCECCO, M ;
PRISCO, F ;
SACCHETTI, C ;
SAGGESE, G ;
STOPPOLONI, G ;
TONINI, G ;
CHIUMELLO, G .
ARCHIVES OF DISEASE IN CHILDHOOD, 1991, 66 (04) :491-494
[5]   Occurrence of celiac disease after onset of type 1 diabetes: A 6-year prospective longitudinal study [J].
Barera, G ;
Bonfanti, R ;
Viscardi, M ;
Bazzigaluppi, E ;
Calori, G ;
Meschi, F ;
Bianchi, C ;
Chiumello, G .
PEDIATRICS, 2002, 109 (05) :833-838
[6]   Prevalence of coeliac disease in diabetic children and their first-degree relatives in West Algeria: Screening with serological markers [J].
Boudraa, G ;
Hachelaf, W ;
Benbouabdeilah, M ;
Belkadi, M ;
Benmansour, FZ ;
Touhami, M .
ACTA PAEDIATRICA, 1996, 85 :58-60
[8]  
Cacciari E, 1997, ARCH DIS CHILD, V77, P465
[9]   PREVALENCE AND CHARACTERISTICS OF CELIAC-DISEASE IN TYPE-1 DIABETES-MELLITUS [J].
CACCIARI, E ;
SALARDI, S ;
VOLTA, U ;
BIASCO, G ;
PARTESOTTI, S ;
MANTOVANI, W ;
CICOGNANI, A ;
TONIOLI, S ;
TASSONI, P ;
PIRAZZOLI, P ;
BIANCHI, FB ;
BARBONI, F ;
PISI, E .
ACTA PAEDIATRICA SCANDINAVICA, 1987, 76 (04) :671-672
[10]   IgA antigliadin antibodies as a screening method for nonovert celiac disease in children with insulin-dependent diabetes mellitus [J].
Calero, P ;
RibesKoninckx, C ;
Albiach, V ;
Carles, C ;
Ferrer, J .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 1996, 23 (01) :29-33