Potential celiac disease in type 1 diabetes: A multicenter study

The Study-Group on Diabetes of Italian Society of Pediatric Endocrinology and Diabetology (ISPED)

Risultato della ricerca: Contributo su rivistaArticolo in rivistapeer review

Abstract

Aims: To describe the prevalence of potential celiac disease (pot-CD) in young patients with type 1 diabetes mellitus (T1DM) and characterize their clinical features. Methods: This cross-sectional multicenter study involved 8717 T1DM patients from 31 Italian centers. Information was collected on the total number of T1DM patients, CD patients and pot-CD patients. The following data were collected on pot-CD patients: gender, age at T1DM diagnosis, age at the first CD serological positivity, presence of CD-related symptoms, presence of other autoimmune disorders and treatment with gluten free diet (GFD). One thousand-three-hundred-sixty-one patients who were positive for CD serology were the control group. Results: CD serological positivity was found in 7.2% T1DM patients. Prevalence of pot-CD was 12.2% (n = 77) among CD positive patients: symptoms were present in 12/77; a third autoimmune disorder was found in 15 patients. Prevalence of pot-CD in the control population was 8.4% (n = 114; p = 0.005). No difference was found with regard to clinical features. Only few symptomatic patients were on GFD both in T1DM and control patients. Conclusions: A higher prevalence of pot-CD was found in T1DM patients, that may be ascribed to the routine screening, although the influence of genetic factors cannot be excluded.

Lingua originaleInglese
pagine (da-a)53-56
Numero di pagine4
RivistaDiabetes Research and Clinical Practice
Volume92
Numero di pubblicazione1
DOI
Stato di pubblicazionePubblicato - 1 apr 2011

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