Detecting celiac disease in patients with Down syndrome

The main purposes of this undertaking were to determine how often patients with Down syndrome (DS) are screened for celiac disease (CD) across five DS specialty clinics, which symptoms of CD are most often reported to DS specialty providers at these clinics, and, how many individuals were diagnosed...

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Veröffentlicht in:American journal of medical genetics. Part A 2016-12, Vol.170A (12), p.3098-3105
Hauptverfasser: Sharr, Christianne, Lavigne, Jenifer, Elsharkawi, Ibrahim M. A., Ozonoff, Al, Baumer, Nicole, Brasington, Campbell, Cannon, Sheila, Crissman, Blythe, Davidson, Emily, Florez, Jose C., Kishnani, Priya, Lombardo, Angela, Lyerly, Jordan, McDonough, Mary Ellen, Schwartz, Alison, Berrier, Kathryn L., Sparks, Susan, Stock-Guild, Kara, Toler, Tomi L., Vellody, Kishore, Voelz, Lauren, Skotko, Brian G.
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container_end_page 3105
container_issue 12
container_start_page 3098
container_title American journal of medical genetics. Part A
container_volume 170A
creator Sharr, Christianne
Lavigne, Jenifer
Elsharkawi, Ibrahim M. A.
Ozonoff, Al
Baumer, Nicole
Brasington, Campbell
Cannon, Sheila
Crissman, Blythe
Davidson, Emily
Florez, Jose C.
Kishnani, Priya
Lombardo, Angela
Lyerly, Jordan
McDonough, Mary Ellen
Schwartz, Alison
Berrier, Kathryn L.
Sparks, Susan
Stock-Guild, Kara
Toler, Tomi L.
Vellody, Kishore
Voelz, Lauren
Skotko, Brian G.
description The main purposes of this undertaking were to determine how often patients with Down syndrome (DS) are screened for celiac disease (CD) across five DS specialty clinics, which symptoms of CD are most often reported to DS specialty providers at these clinics, and, how many individuals were diagnosed with CD by these clinics. This was accomplished by following 663 individuals with DS for 1 year, across five clinics in different states specializing in the comprehensive care of people with DS. Of the 663 participants, 114 individuals were screened for CD at their visit to a DS specialty clinic. Protracted constipation (43.2%) and refractory behavioral problems (23.7%) were symptoms most often reported to DS specialty providers. During the 1 year study period, 13 patients screened positive for CD by serology. Of those, eight underwent duodenal biopsy, and three were diagnosed with CD. We conclude that CD is an important consideration in the comprehensive care of individuals with DS. However, while symptoms are common, diagnoses are infrequent in DS specialty clinics. © 2016 Wiley Periodicals, Inc.
doi_str_mv 10.1002/ajmg.a.37879
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A. ; Ozonoff, Al ; Baumer, Nicole ; Brasington, Campbell ; Cannon, Sheila ; Crissman, Blythe ; Davidson, Emily ; Florez, Jose C. ; Kishnani, Priya ; Lombardo, Angela ; Lyerly, Jordan ; McDonough, Mary Ellen ; Schwartz, Alison ; Berrier, Kathryn L. ; Sparks, Susan ; Stock-Guild, Kara ; Toler, Tomi L. ; Vellody, Kishore ; Voelz, Lauren ; Skotko, Brian G.</creator><creatorcontrib>Sharr, Christianne ; Lavigne, Jenifer ; Elsharkawi, Ibrahim M. 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Protracted constipation (43.2%) and refractory behavioral problems (23.7%) were symptoms most often reported to DS specialty providers. During the 1 year study period, 13 patients screened positive for CD by serology. Of those, eight underwent duodenal biopsy, and three were diagnosed with CD. We conclude that CD is an important consideration in the comprehensive care of individuals with DS. 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subjects Adolescent
Adult
Biopsy
celiac disease
Celiac Disease - complications
Celiac Disease - diagnosis
Celiac Disease - physiopathology
Child
Child, Preschool
Down syndrome
Down Syndrome - complications
Down Syndrome - diagnosis
Down Syndrome - physiopathology
Female
Genetic Counseling
Humans
Infant
Infant, Newborn
Male
patient database
registry
Trisomy 21
Young Adult
title Detecting celiac disease in patients with Down syndrome
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