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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Celiac disease in the Mediterranean area
BMC Gastroenterology, Volume 14, No. 1, Article 24, Year 2014
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Description
Background: The World Gastroenterology Organization recommends developing national guidelines for the diagnosis of Celiac Disease (CD): hence a profile of the diagnosis of CD in each country is required. We aim to describe a cross-sectional picture of the clinical features and diagnostic facilities in 16 countries of the Mediterranean basin. Since a new ESPGHAN diagnostic protocol was recently published, our secondary aim is to estimate how many cases in the same area could be identified without a small intestinal biopsy.Methods: By a stratified cross-sectional retrospective study design, we examined clinical, histological and laboratory data from 749 consecutive unselected CD children diagnosed by national referral centers.Results: The vast majority of cases were diagnosed before the age of 10 (median: 5 years), affected by diarrhea, weight loss and food refusal, as expected. Only 59 cases (7.8%) did not suffer of major complaints. Tissue transglutaminase (tTG) assay was available, but one-third of centers reported financial constraints in the regular purchase of the assay kits. 252 cases (33.6%) showed tTG values over 10 times the local normal limit. Endomysial antibodies and HLA typing were routinely available in only half of the centers. CD was mainly diagnosed from small intestinal biopsy, available in all centers. Based on these data, only 154/749 cases (20.5%) would have qualified for a diagnosis of CD without a small intestinal biopsy, according to the new ESPGHAN protocol.Conclusions: This cross-sectional study of CD in the Mediterranean referral centers offers a puzzling picture of the capacities to deal with the emerging epidemic of CD in the area, giving a substantive support to the World Gastroenterology Organization guidelines. © 2014 Tucci et al.; licensee BioMed Central Ltd.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3922979/bin/1471-230X-14-24-S1.xlsx
Authors & Co-Authors
Tucci, Francesca
Italy, Naples
Università Degli Studi Di Napoli Federico Ii
Astarita, Luca
Italy, Naples
Università Degli Studi Di Napoli Federico Ii
Abkari, Abdelhak
Morocco, Casablanca
Hopital D'enfants, Uir Casablanca
Abu-Zekry, Mona A.
Egypt, Cairo
Cairo University Hospitals
Attard, Thomas Mario
Malta, Valletta
Mater Dei Hospital
Ben-Hariz, Mongi
Tunisia
Mongi Slim's Hospital of Tunis
Bilbao, Jose Ramon
Spain, Baracaldo
Osakidetza, Cruces University Hospital
Spain, Baracaldo
Biocruces Bizkaia Instituto de Investigación Sanitaria
Boudraa, Ghazalia
Algeria, Oran
Clinique Amilcar Cabral
Boukthir, S.
Tunisia, Tunis
Université de Tunis el Manar, Hôpital D'enfants Béchir Hamza de Tunis
Costa, Stefano
Italy, Messina
Università Degli Studi Di Messina, Facoltà Di Medicina e Chirurgia
Djurisic, Veselinka
Montenegro, Podgorica
University of Montenegro
Hugot, Jean Pierre
France, Paris
Ap-hp Assistance Publique - Hopitaux de Paris
Irastorza, Iñaki
Spain, Baracaldo
Osakidetza, Cruces University Hospital
Spain, Baracaldo
Biocruces Bizkaia Instituto de Investigación Sanitaria
Kansu, Aydan
Turkey, Ankara
Ankara Üniversitesi
Kolaček, Sanja
Croatia, Zagreb
Childern's Hospital Zagreb
Magazzu', Giuseppe
Italy, Messina
Università Degli Studi Di Messina, Facoltà Di Medicina e Chirurgia
Mičetić-Turk, Dušanka
Slovenia, Maribor
Univerzitetni Klinični Center Maribor
Mišak, Zrinjka Matek
Croatia, Zagreb
Childern's Hospital Zagreb
Roma-Giannikou, Eleftheriá S.
Greece, Athens
National and Kapodistrian University of Athens
Rossi, Pasqualino
Italy, Rome
Ministero Della Salute
Terzić, Selma
Bosnia and Herzegovina, Tuzla
University Clinical Center
Velmishi, Virtut
Albania, Tirana
University Hospital Centre Tirana
Arcidiaco, Carmela
Italy, Naples
Università Degli Studi Di Napoli Federico Ii
Auricchio, Renata
Italy, Naples
Università Degli Studi Di Napoli Federico Ii
Greco, Luigi G.
Italy, Naples
Università Degli Studi Di Napoli Federico Ii
Statistics
Citations: 25
Authors: 25
Affiliations: 19
Identifiers
Doi:
10.1186/1471-230X-14-24
e-ISSN:
1471230X
Research Areas
Food Security
Maternal And Child Health
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative