It is currently 13 Apr 2021 19:31

All times are UTC + 5:30 hours [ DST ]




Post new topic Reply to topic  [ 3 posts ] 
Author Message
 Post subject: CELIAC DISEASE
PostPosted: 12 May 2013 22:24 
Offline
User avatar

Joined: 15 Mar 2013 08:12
Posts: 266
CELIAC DISEASE
Researchers looking at sample of people in Olmstead Couty, Minnesota found that the number of new cases of celiac disease increased from 11 to 17 per 100,000 between 2000 &2010. The researchers used medical records for people living in Olmsted County which is home to the Mayo Clinic and 2 affiliated hospitals, and where the health of most of the population is tracked thru research projects.In the decade starting2000 some 249 people were diagnosed with celiac disease spreading over the ages of 1 thru 85. 63% of the new cases were women.The number of patients diagnosed with this disease went up during the first 4 years and then it plateaued. The increased diagnosis may be due to awareness and there fore increased screening.

Dr Murray and his colleagues noted that GI infections have been linked to development of celiac disease. So has high consumption of gluten-containing foods, like breads, bagels,and pizza. Dr Alessio Fassano, director of the Center for Celiac Researchat Mass General Hospital for Children in Boston agreed that something in the environment is triggering the genetic and biological factors that activate the the disease.

Ref American Journal of Gastro 2013. / Medscape Gastro March 29 2013. / Reuters Health Information.

_________________
Raghuthaman


Top
 Profile Send private message  
 
PostPosted: 13 May 2013 00:25 
Offline
User avatar

Joined: 24 Mar 2013 02:28
Posts: 767
When to offer serological testing for coeliac disease.

Offer serological testing to children and adults with any of the following signs and symptoms:

chronic or intermittent diarrhoea

failure to thrive or faltering growth (in children)

persistent or unexplained gastrointestinal symptoms including nausea and vomiting

prolonged fatigue ('tired all the time')

recurrent abdominal pain, cramping or distension

sudden or unexpected weight loss
unexplained iron-deficiency anaemia, or other unspecified anaemia.

Offer serological testing to children and adults with:Any of the following conditions

autoimmune thyroid disease

dermatitis herpetiformis

irritable bowel syndrome

type 1 diabetes
or
first-degree relatives (parents, siblings or children) with coeliac disease.

Consider offering serological testing to children and adults with any of the following:

Addison's disease
amenorrhoea
aphthous stomatitis (mouth ulcers)
autoimmune liver conditions

Ref- NICE clinical pathway .

G.Mohan


Top
 Profile Send private message  
 
 Post subject: Re: CELIAC DISEASE
PostPosted: 13 May 2013 02:24 
Offline
User avatar

Joined: 15 Mar 2013 08:12
Posts: 266
Thank you, Mohan for the post reg when to offer serologic testing. While serologic testing can be helpful the endomyceal antibody is specific. The tests relating to antigliadin antibodies and immunoglobulin levels are not specific. The diagnostic test is the biopsy of 2 nd part of of duodenum but may not be cost effective in many cases. However with the availability of dietitians able to give consultation and gluten free products available in special sections of grocery department stores a trial of strict gluten free diet for 6-8 weeks is a good commonsense approach.

I thought the article was interesting and may be applicable in India, particularly in large cities where the eating habits are changing due to a variety of reasons.

_________________
Raghuthaman


Top
 Profile Send private message  
 
Display posts from previous:  Sort by  
Post new topic Reply to topic  [ 3 posts ] 

All times are UTC + 5:30 hours [ DST ]


Who is online

Users browsing this forum: No registered users and 2 guests


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot post attachments in this forum

Jump to:  
cron