Volume 45, Issue 4 pp. 497-499
Short Communications

Ninety Percent of Celiac Disease Is Being Missed

M Ravikumara

M Ravikumara

Department of Gastroenterology, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol, UK

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VKT Nootigattu

VKT Nootigattu

Department of Gastroenterology, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol, UK

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BK Sandhu

Corresponding Author

BK Sandhu

Department of Gastroenterology, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol, UK

Address correspondence and reprint requests to Prof B.K. Sandhu, Department of Gastroenterology, Bristol Royal Hospital for Children, Upper Maudlin St, Bristol, BS2 8BJ, UK (e-mail: [email protected]).Search for more papers by this author
First published: 01 October 2007
Citations: 49

ABSTRACT

Serological screening of 5470 children age 7.5 years from a cohort of 13,971 children in the Avon Longitudinal Study of Parents and Children (ALSPAC) suggested the prevalence of celiac disease (CD) to be at least 1%. ALSPAC is an anonymous study, and hence seropositive children could not be individually identified or undergo biopsy. Inasmuch as all children within ALSPAC suspected of having CD are referred to just 1 center, we aimed to identify children with biopsy-confirmed CD who were likely to be in this cohort and to estimate the magnitude of discrepancy between serology-positive cases and biopsy-confirmed cases. The results suggest that more than 90% of CD in children goes undiagnosed.

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