Screening for coeliac disease in type 1 diabetes

The average prevalence of coeliac disease among children with diabetes mellitus in 26 reports was 4.5% (0.97–16.4%). Malabsorption, unstable diabetes, and growth failure, indicate that coeliac disease may be present. Even those who are apparently asymptomatic may have subtle complaints indicative of...

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Veröffentlicht in:Archives of disease in childhood 2002-12, Vol.87 (6), p.495-499
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description The average prevalence of coeliac disease among children with diabetes mellitus in 26 reports was 4.5% (0.97–16.4%). Malabsorption, unstable diabetes, and growth failure, indicate that coeliac disease may be present. Even those who are apparently asymptomatic may have subtle complaints indicative of coeliac disease if a careful history is taken. Ill health may only be recognised in retrospect following the benefits conferred by a gluten free diet. For these reasons it is recommended that a screening programme should be instituted to detect coeliac disease in these children. Parents and where possible children themselves, should be fully involved at all stages of the screening, diagnostic, and treatment process.
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Malabsorption, unstable diabetes, and growth failure, indicate that coeliac disease may be present. Even those who are apparently asymptomatic may have subtle complaints indicative of coeliac disease if a careful history is taken. Ill health may only be recognised in retrospect following the benefits conferred by a gluten free diet. For these reasons it is recommended that a screening programme should be instituted to detect coeliac disease in these children. Parents and where possible children themselves, should be fully involved at all stages of the screening, diagnostic, and treatment process.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/adc.87.6.495</identifier><identifier>PMID: 12456547</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Adult ; AEA ; AGA ; antiendomysial antibodies ; antigliadin antibodies ; antireticulin antibodies ; antitissue transglutaminase antibodies ; ARA ; AtTG ; Autoimmune Diseases - complications ; Biological and medical sciences ; Care and treatment ; Celiac disease ; Celiac Disease - diagnosis ; Celiac Disease - diet therapy ; Celiac Disease - epidemiology ; Child ; Child, Preschool ; coeliac disease ; Comorbidity ; Costs ; Demographic aspects ; Diabetes ; Diabetes in children ; Diabetes Mellitus, Type 1 - complications ; Diagnosis ; General aspects ; Gluten ; Glutens - administration &amp; dosage ; Humans ; Infant ; Juvenile diabetes ; Lymphoma - complications ; Mass Screening - economics ; Mass Screening - methods ; Medical sciences ; Osteoporosis - complications ; Patients ; Planification. 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Hygiene-occupational medicine ; Review ; type 1 diabetes</subject><ispartof>Archives of disease in childhood, 2002-12, Vol.87 (6), p.495-499</ispartof><rights>Copyright 2002 Archives of Disease in Childhood</rights><rights>2003 INIST-CNRS</rights><rights>COPYRIGHT 2002 BMJ Publishing Group Ltd.</rights><rights>COPYRIGHT 2002 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2002 Copyright 2002 Archives of Disease in Childhood</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b653t-2dace359a7e7cd814e6822f16c2e04cb82561831f7f2aeb1cf3269f6ce27cc8d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1755832/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1755832/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,313,314,723,776,780,788,881,27899,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=14372766$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12456547$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Holmes, G K T</creatorcontrib><title>Screening for coeliac disease in type 1 diabetes</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>The average prevalence of coeliac disease among children with diabetes mellitus in 26 reports was 4.5% (0.97–16.4%). Malabsorption, unstable diabetes, and growth failure, indicate that coeliac disease may be present. Even those who are apparently asymptomatic may have subtle complaints indicative of coeliac disease if a careful history is taken. Ill health may only be recognised in retrospect following the benefits conferred by a gluten free diet. For these reasons it is recommended that a screening programme should be instituted to detect coeliac disease in these children. Parents and where possible children themselves, should be fully involved at all stages of the screening, diagnostic, and treatment process.</description><subject>Adult</subject><subject>AEA</subject><subject>AGA</subject><subject>antiendomysial antibodies</subject><subject>antigliadin antibodies</subject><subject>antireticulin antibodies</subject><subject>antitissue transglutaminase antibodies</subject><subject>ARA</subject><subject>AtTG</subject><subject>Autoimmune Diseases - complications</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>Celiac disease</subject><subject>Celiac Disease - diagnosis</subject><subject>Celiac Disease - diet therapy</subject><subject>Celiac Disease - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>coeliac disease</subject><subject>Comorbidity</subject><subject>Costs</subject><subject>Demographic aspects</subject><subject>Diabetes</subject><subject>Diabetes in children</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Diagnosis</subject><subject>General aspects</subject><subject>Gluten</subject><subject>Glutens - administration &amp; dosage</subject><subject>Humans</subject><subject>Infant</subject><subject>Juvenile diabetes</subject><subject>Lymphoma - complications</subject><subject>Mass Screening - economics</subject><subject>Mass Screening - methods</subject><subject>Medical sciences</subject><subject>Osteoporosis - complications</subject><subject>Patients</subject><subject>Planification. 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subjects Adult
AEA
AGA
antiendomysial antibodies
antigliadin antibodies
antireticulin antibodies
antitissue transglutaminase antibodies
ARA
AtTG
Autoimmune Diseases - complications
Biological and medical sciences
Care and treatment
Celiac disease
Celiac Disease - diagnosis
Celiac Disease - diet therapy
Celiac Disease - epidemiology
Child
Child, Preschool
coeliac disease
Comorbidity
Costs
Demographic aspects
Diabetes
Diabetes in children
Diabetes Mellitus, Type 1 - complications
Diagnosis
General aspects
Gluten
Glutens - administration & dosage
Humans
Infant
Juvenile diabetes
Lymphoma - complications
Mass Screening - economics
Mass Screening - methods
Medical sciences
Osteoporosis - complications
Patients
Planification. Prevention (methods). Intervention. Evaluation
Prevalence
Public health. Hygiene
Public health. Hygiene-occupational medicine
Review
type 1 diabetes
title Screening for coeliac disease in type 1 diabetes
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