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The changing clinical presentation of coeliac disease
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  • Published on:
    Coeliac disease: Crossing racial boundaries
    • Anurag Saxena, Specialist registrar Paediatrics
    • Other Contributors:
      • Ravikumar Parikh, R J Rayner

    Dear Editor,

    We read with interest, the paper from Cardiff by Ravi Kumara et al (1) on the presentation of Paediatric coeliac disease.

    We did a similar retrospective study in the Wolverhampton region in midlands, looking at children diagnosed with coeliac disease from 1992 - 2005. The total number of children diagnosed was 25. (4 children diagnosed from 1992-1998 and 21 from 1999-2005).The ratio of boys to g...

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    Conflict of Interest:
    None declared.
  • Published on:
    Changing faces of coeliac disease - DGH Perspective.

    Dear Editor,

    The paper from Cardiff by Ravi kumara et al and the comprehensive summary by Beattie is timely and to a great extent serve to remind professionals who deal with patients with Coeliac disease(CD) of the current thinking on this subject. In my experience in caring for patients with gastroenterological ailments in a DGH, the spectrum of the cases I have been exposed to are clearly highlighted in these pap...

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    Conflict of Interest:
    None declared.
  • Published on:
    The change in haematological presentation of iron deficiency is also an issue

    Dear Editor,

    Notwithstanding the fact that iron deficiency anaemia is the commonest extraintestinal manifestation of subclinical coeliac disease(CD)(1)(2), in ordinary clinical practice diagnostic strategies for early detection of iron deficient erythropoiesis have not been optimised to the same extent as diagnostic strategies for early recognition of CD. For example, when serological testing is the chosen paramete...

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    Conflict of Interest:
    None declared.