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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Screening by anti-endomysium antibodies for celiac disease in Tunisian children with type 1 diabetes mellitus
Gastroenterologie Clinique et Biologique, Volume 31, No. 5, Year 2007
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Description
Aim - Celiac disease (CD) and type 1 diabetes mellitus (DM1) can frequently coexist, presumably due to a common genetic predisposition. The present study was designed to evaluate the frequency of CD among Tunisian children with DM1. Patients and methods - A total of 205 diabetic children (92 girls, 113 boys, age range 6 months-15 years, median 11 years) were screened for CD by determination of IgA anti-endomysium antibodies (EMA). Results - EMA were positive in 17 out of 205 (8.3%) children with DM1. The median age of DM1 at onset was significantly lower in patients with EMA than those without EMA (P<10 -7). In 13 of 17 EMA-positive patients, duodenal biopsy could be performed and a destructive type of CD was confirmed in 11 of them: 8 patients showed total villous atrophy, 3 patients showed a partial villous atrophy. The other two patients showed a normal histological picture with normal number of intraepithelial lymphocytes. Parents of the remaining EMA-positive children refused endoscopy. Thus the prevalence of biopsy-proven CD was 5.3% (11/205). It was 7.6% (7/92) in girls and 3.5% (4/113) in boys but the difference was not statistically significant. Seventy three percent of patients with CD were asymptomatic. Conclusions - The prevalence of clinically unrecognized CD, found by EMA screening, is high in Tunisian children with DM1. We suggest that children with diabetes should be screened for CD. © 2007. Elsevier Masson SAS.
Authors & Co-Authors
Mankaï, Amani
Tunisia, Monastir
Faculté de Pharmacie de Monastir
Ben Hamouda, Héchmi
Tunisia, Mahdia
Hôpital Tahar Sfar
Amri, Fethi
Tunisia, Kairouan
Centre Hospitalo-universitaire Ibn el Jazzar de Kairouan
Ghedira Besbes, L.
Tunisia, Monastir
Faculté de Pharmacie de Monastir
Harbi, Abdelaziz
Tunisia, Sousse
Chu Sahloul
Tahar Sfar, Mohamed
Tunisia, Mahdia
Hôpital Tahar Sfar
Sahloul Essoussi, Ahmed
Tunisia, Sousse
Hopital Farhat Hached Sousse
Jeddi, Moncef
Tunisia, Monastir
Faculté de Pharmacie de Monastir
Ghédira, Ibtissem
Tunisia, Monastir
Faculté de Pharmacie de Monastir
Tunisia, Sousse
Hopital Farhat Hached Sousse
Statistics
Citations: 33
Authors: 9
Affiliations: 5
Identifiers
Doi:
10.1016/S0399-8320(07)89413-9
Research Areas
Genetics And Genomics
Maternal And Child Health
Noncommunicable Diseases
Study Design
Cross Sectional Study
Participants Gender
Male
Female