Adult coeliac disease A 12 case casuistic
Keywords:
adult coeliac disease, sub-clinical forms, gluten free dietAbstract
Significant changes have occurred during the last decade concerning the concept of coeliac disease, including the recognition of non classical forms of clinical presentation and the implementation of serological tests with high sensibility and specificity. The authors have studied retrospectively several outpatients, previously diagnosed as having adult coeliac disease. Based on this study, they review the mbject, giving special attention to the difficulty of the diagnosis itself, in particular the so called subclinical forms and to the good results which mually are obtained when the patient follows a glutenfree diet.
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References
Ferguson A. New perspectives of the pathogenesis of coeliac disease: evolution of a working clinicai definition [Editorial] J Internal Medicine 1996: 240: 315-318.
Corazza GR. Gasbarrini G. Coeliac Discase in adults. ln: Bailliere, editor. Clinical Gastroenterology. lnternational Pratice and Research. Guest Editor - Howdle 1995.
Cobo OM, Hernandez AI Capitan CF. Fernandez FA. Rodriguez JV. Enfermedad celiac en el adulto. An Med Interna 1998: 15(6): 327-333.
Ferreira M, Clark M. Kumar P. Doença celiaca no adulto. Rev Gastrenterol 1992: 9(43): 193-212.
Greenberguer NJ. lsselbacher KJ. Distúrbios da absorção. ln: Fauci AS. Braunwald E. lsselbacher KJ and al. (editores). Harrison - Medicina Interna 14ª Edição. Rio de Janeiro: McGraw-Hill lnteramericana do Brasil Lda 1998: 1721-1739.
Barbeau WE. Novascone MA. Elgert KD. Is celiac disease due to molecular mimiery between gliadin peptide-HLA classe II molecule T cell interactions and those of some unidentified superantigen? Mol Immunol 1997: 34(7): 535-541.
Lahdeaho ML, Lehdinen M. Rissa HR. Hyoty H. Reunala T. Maki M. Antipeptide Antibodies to adenovirus E1b protein indicate enhanced risk of celiac disease and dermatitis herpetiformis. In Arch Allergy Immunol 1993: 101(3): 272-276.
Wieser H. The precipitating factor in coeliac discesc. Baillieres Clin Gastroenterol 1995: 9(2): 191-207.
Lawer M. Humphries P, O'Farrely C at al. Adenovirus 12 EIA gene detection by polymerasc chain reaction in both the normal and cocliac duodenum. Gut 1994: 35(9): 1226-1232.
Vogelsang H, Genser D. Penner E. et al. Screening for Celiac Disease: A Prospectivc Study on the value of Noninvasive Tests. The American Journal of Gastroenterology 1995: 90(3 ): 394-398.
Henry J, Binder MD. The Reliability of Noninvasive Tests for Celiac Disease [Selected Summaries). Gastroenterology 1995: 108: 608-614
Loft DE. Nwokolo CU. Ciclitira PJ. The diagnosis of gluten sensitivity and coeliac disease-the two are not mutually inclusive. Eur .J. Gastroenterol Hepatol 1998: 10(11): 911-913.
Portela F, Ribeiro H. Vasconcelos H. et al. Rastreio de doença celíaca em pacientes com diabetes tipo 1. Rev Gastrenterol Cir 1998: 15(80): 211-214.
Collin P. Maki. Associated Disorders in Coeliac Disease: Clinical Aspects [Review]. Stand J Gastroenterol 1994: 29: 769-775.
Collin P. Reunala E. Pukkala E, Laippala P. Keyrilitinen, Pasternack A. Coeliac disease - associad disorders and survival. Gut 1994: 35: 1215-1218.
Bottaro G. Cataldo F, Rotolo N. Spina M, Corazza GR. The clinical pattern of subelinieal/silent celiac disease: an analysis on 1026 consecutive cases. Am J Gastroenterol 1999: 94(3): 691- 696.
Corraza GR, Sario A, Cecchelti L, Tarozzi C, Corrao G, Bernardi M, Gasbarrini G. Bone Mass and Metabolism in Patients With Celiac Disease. Gastroenterology 1995; 109: 112-118.
Valdimarsson T, Toss G, Ross I. et al. Bone Mineral Density in Coeliac Disease. Scand J. Gastroenterol 1994: 29: 457-46 I.
Nabais MJ, Cotrim I, Ascençâo M et al. Osteopenia como manifestação de doença celíaca. Rev Gastrenterol Cir 1996: 13(64): 63-68.
Michael N M. Bone Disease and Gluten sensivity: Time To Act, To Treat and To Prevent. The American Journal of Gastroenterology 1994; 89( 12): 2105-2108.
Murray JA. The widening spcetrum 'of celiac disease. Am J Clin Nutr 1999; 69(3):354-365.
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