[Increasing prevalence of celiac children with negative serum antigliadin antibodies].

Abstract:

AIM:In the last few years we noted an increasing number of children with celiac disease with negative serum anti-gliadin antibodies (AGA) a useful serologic test to monitor compliance to gluten-free diet. The aim of this study was to verify diagnostic accuracy of AGA and compare clinical characteristics of AGA-negative with AGA-positive celiac children. METHODS:The authors analyzed serum of AGA-negative celiac children with 3 Elisa kits, and compared clinical and anthropometric data of AGA-negative with AGA-positive celiac children. Celiac disease was diagnosed with small bowel biopsy, and total IgA were determined. Children with IgA-deficiency were excluded. RESULTS:When retested with two other commercial kits, serum values of AGA-negative children were confirmed in all but one. In the last 14 years a diagnosis of celiac disease was performed in 166 children, in 56 of them (33.7%) antigliadin antibodies were negative. Preva-lence of AGA-negative celiac children increased significantly in the last years (from 23% before 2002 to 39.8% after 2002, P=0.04). AGA-negative children were significantly older (7.8 years vs. 3.7 years, P=0.0007) they complained more frequently of abdominal pain (55%, vs. 25,4% P=0.04) and less frequently of anaemia (8% vs. 24.5% P=0.012) and were less likely to have a classical celiac triad (5.3 vs. 22%, P=0.004) than AGA-positive children. CONCLUSION:Serum AGA seem no longer useful for monitoring compliance to gluten-free diet. In children where AGA are negative at diagnosis, when the child eats a normal amount of gluten, they are going to remain negative even after poor compliance.

journal_name

Minerva Pediatr

journal_title

Minerva pediatrica

authors

Caristo E,Tognato E,Di Dio G,Rapa A,Fonio P

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

119-23

issue

2

eissn

0026-4946

issn

1827-1715

pii

R15103337

journal_volume

62

pub_type

杂志文章
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    doi:

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  • Food security and nutritional status of children in foster care: new horizons in the protection of a fragile population.

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    pub_type: 杂志文章

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  • [Congenital cytomegalovirus infection: current status and future perspectives].

    abstract::In recent years, infection with cytomegalovirus (CMV) was the subject of numerous studies, one side being the most frequent congenital infection in newborns and one that determines the increased incidence of sequelae distance (about one third of childhood deafness is due to CMV), and the other one of the most frequent...

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  • [Height percentiles of children at 6 to 11 years of age in the area of Lazio].

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    abstract::We studied 13 children and adolescents during diabetic ketoacidosis; the duration of diabetes ranged from 1.4 to 6.0 years. A group of 13 diabetic sex, age and duration of disease-matched children served as control. Patients in ketoacidosis showed important abnormalities of T subset percentages (OKT3: 63.4 +/- 1.87% v...

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  • [Sequelae of bacterial meningitis in childhood: a study of hearing impairment].

    abstract::Bacterial meningitis is an infection of the central nervous system involving quite a number of neurological sequelae the most common of which is hearing impairment. To assess the incidence of audiological deficit the authors evaluated retrospectively 20 patients, between 4 months and 11 years of age, observed at the P...

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    pub_type: 杂志文章,评审

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  • [Treatment of bronchial asthma in chidren].

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    doi:

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    更新日期:2000-11-01 00:00:00

  • [Cystic lymphangioma of the abdominal wall in childhood: case report].

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  • [Visceral leishmaniasis complicated by herpes zoster. An unusual case in the pediatric age].

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    doi:

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  • [Validation of an hourly transcutaneous bilirubin nomogram in a population of term or late preterm newborn infants: preliminary results].

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