© 2004 BMJ Publishing Group & Royal College of Paediatrics and Child Health
SHORT REPORT
Unrecognised coeliac disease is common in healthcare students
1 Department of Child Health, University Hospital of Wales, Cardiff CF14 4XW, UK
2 Department of Occupational Health, University Hospital of Wales, Cardiff CF14 4XW, UK
3 Department of Immunology, University Hospital of Wales, Cardiff CF14 4XW
4 Department of Gastroenterology, University Hospital of Wales, Cardiff CF14 4XW, UK
Correspondence to:
Correspondence to:
Dr S El-Hadi
Department of Child Health, University Hospital of Wales, Heath Park, Cardiff CF4 4XW, Wales, UK; sarahelhadi@msn.com
Accepted 21 November 2003
Keywords: coeliac disease; healthcare student
| The first 150 words of the full text of this article appear below. |
Coeliac disease is a lifelong intolerance to dietary gluten. Untreated it can result in malabsorption, vitamin deficiencies, anaemia, and osteoporosis. Although histology remains the cornerstone of diagnosis, over the past decade serological testing for coeliac disease has facilitated the earlier recognition of coeliac disease and the detection of milder cases.1 Recent studies have suggested that tissue transglutaminase (TTG) antibodies may be used to detect coeliac disease in children with a genetic risk for it.2 Children at high risk for coeliac disease include those with a family history of coeliac disease, autoimmune thyroid disease, insulin dependent diabetes, Downs syndrome, and Noonans syndrome. Serological prevalence data from a number of studies have indicated that coeliac disease may be far more common in Europe and North Africa than previously thought. It seems likely that there is a similar under-reporting of coeliac disease in the UK, which may have important health consequences as dietary
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