Presentations of Adult Celiac Disease in a Nationwide Patient Support Group
@article{Zipser2004PresentationsOA, title={Presentations of Adult Celiac Disease in a Nationwide Patient Support Group}, author={Robert D. Zipser and Sunil Patel and Kareem Z. Yahya and Donald Baisch and Elena S Monarch}, journal={Digestive Diseases and Sciences}, year={2004}, volume={48}, pages={761-764} }
Recent epidemiological studies primarily from Europe document that adult celiac disease often lacks the classic presentation of steatorrhea and weight loss. There are few surveys of adult celiac disease in the United States. We surveyed the large population of a nationwide patient support group to determine their disease presentations. In the initial survey (N = 1032 respondents), the median age at onset was 46 years, and the diagnosis of adult celiac disease was often delayed (median 12 months…
122 Citations
The Canadian Celiac Health Survey ( Published in Digestive Diseases & Sciences April
- Medicine
- 2007
Delays in diagnosis of celiac disease remain a problem and greater use of serological screening tests may result in earlier diagnosis and reduced risk of associated conditions.
The Canadian Celiac Health Survey
- MedicineDigestive Diseases and Sciences
- 2006
Improved awareness of celiac disease and greater use of serological screening tests may result in earlier diagnosis and reduced risk of associated conditions.
Evaluation of adult celiac disease from a tertiary reference center: a retrospective analysis.
- MedicineRevista da Associacao Medica Brasileira
- 2020
In adult celiac disease, resistant anemia, dyspepsia, and hypertransaminasemia are very common findings at the time of diagnosis, and the association with other autoimmune diseases, especially Hashimoto's thyroiditis, is high.
Clinical Manifestations of Celiac Disease and Diagnostic Criteria: Differences among Children, Adolescents and Adults
- Medicine
- 2015
These guidelines recommend offering serologic testing for CD in patients with symptoms or conditions associated with CD, based on a combination of findings from the clinical presentation, CD-specific antibodies, duodenal biopsies, HLA-DQ2/DQ8 genotyping, and the response to a gluten free diet.
Clinical presentation of adult coeliac disease.
- MedicineIrish medical journal
- 2011
Females presented at a significantly younger age compared to males, with median ages at diagnosis of 44.5 and 57 years, respectively, than males, and presented more commonly with non G.I. symptoms.
Brief report: Physician awareness of celiac disease
- MedicineJournal of General Internal Medicine
- 2005
Lack of physician awareness of adult onset of symptoms, associated disorders, and use of serology testing may contribute to the underdiagnosis of celiac disease.
Celiac Disease in the Elderly
- MedicineGerontology
- 2005
There appears to be under-recognition of celiac disease in the elderly, with the number of elderly patients incorrectly diagnosed as irritable bowel syndrome, who generally had the longest delays in diagnosis.
Physician awareness of celiac disease: a need for further education.
- MedicineJournal of general internal medicine
- 2005
Lack of physician awareness of adult onset of symptoms, associated disorders, and use of serology testing may contribute to the underdiagnosis of celiac disease.
Celiac Disease Diagnosis and Management: A 46-Year-Old Woman With Anemia
- Medicine
- 2011
Celiac disease is one of the most prevalent autoimmune gastrointestinal disorders, but as the case of Ms J illustrates, diagnosis is often delayed or missed. Based on serologic studies, the…
Celiac disease diagnosis and management: a 46-year-old woman with anemia.
- MedicineJAMA
- 2011
Celiac disease is one of the most prevalent autoimmune gastrointestinal disorders, but as the case of Ms J illustrates, diagnosis is often delayed or missed. Based on serologic studies, the…
References
SHOWING 1-10 OF 30 REFERENCES
Characteristics of adult celiac disease in the USA: results of a national survey
- MedicineAmerican Journal of Gastroenterology
- 2001
Patients with celiac disease in the United States have a long duration of symptoms and consider their diagnosis delayed, and improved quality of life after diagnosis is common, with an increased risk of developing small intestine malignancies.
Celiac Disease in Brazilian Adults
- MedicineJournal of clinical gastroenterology
- 2002
The authors' results are similar to those described in developing countries, indicating that celiac disease might have the same spectrum of presentation regardless of the region studied.
Epidemiology of celiac sprue: a community-based study.
- MedicineThe American journal of gastroenterology
- 1994
This study provides the first epidemiologic data on celiac disease in the United States and survival in this inception cohort was 100% at 6 months and 96% at 5 yr, which was not significantly different from expected.
The subtle and variable clinical expressions of gluten-induced enteropathy (adult celiac disease, nontropical sprue). An analysis of twenty-one consecutive cases.
- MedicineThe American journal of medicine
- 1970
Changes in clinical features of coeliac disease in adults in Edinburgh and the Lothians 1960-79.
- MedicineBritish medical journal
- 1983
From 1960 to 1979 there was a threefold increase in the number of cases of coeliac disease diagnosed annually in adults in Edinburgh and the Lothians. Women accounted for 80% of the increase and…
Current approaches to diagnosis and treatment of celiac disease: an evolving spectrum.
- MedicineGastroenterology
- 2001
The current gold standard for the diagnosis of CD remains histologic confirmation of the intestinal damage in serologically positive individuals, and the keystone treatment of CD patients is a lifelong elimination diet in which food products containing gluten are avoided.
Undiagnosed coeliac disease is common in Finnish adults.
- MedicineScandinavian journal of gastroenterology
- 1998
Undiagnosed coeliac disease is common in the adult population in Finland; in this study the prevalence was 1 in 130; Screening for coelcream disease is recommended on minor suspicion.
The clinical pattern of subclinical/silent celiac disease: an analysis on 1026 consecutive cases Figure 1
- MedicineAmerican Journal of Gastroenterology
- 1999
This study has provided an analysis of the largest series of subclinical/silent celiac disease reported to date in Italy, and this form is most frequently recognized in adults, and prospective studies will clarify whether the lower frequency observed in children is a real or apparent phenomenon.
Celiac disease risk in the USA: high prevalence of antiendomysium antibodies in healthy blood donors.
- MedicineScandinavian journal of gastroenterology
- 1998
The prevalence of increased AEA levels in healthy blood donors in the USA is 1:250, similar to that reported in countries in Europe, where subsequent small-intestinal biopsies have confirmed CD in all those with AEA positivity.
High prevalence of asymptomatic coeliac disease in Norway: a study of blood donors.
- MedicineEuropean journal of gastroenterology & hepatology
- 1999
The study indicates a prevalence of latent coeliac disease in apparently healthy Norwegian individuals of 1:340 among asymptomatic and presumably healthy people, in keeping with studies from other countries.