Adult onset celiac disease in north India.

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dc.contributor.authorSachdev, Aen_US
dc.contributor.authorSrinivasan, Ven_US
dc.contributor.authorMaheswary, Sen_US
dc.contributor.authorMohan, Hen_US
dc.contributor.authorAshish, Ben_US
dc.contributor.authorSingh, L Sen_US
dc.date.accessioned2002-07-16en_US
dc.date.accessioned2009-06-04T03:52:35Z
dc.date.available2002-07-16en_US
dc.date.available2009-06-04T03:52:35Z
dc.date.issued2002-07-16en_US
dc.description.abstractINTRODUCTION: Informations on celiac disease among Indian adults is scarce. With the availability of improved and more accessible diagnostic tools for celiac disease, the disease is being more frequently recognized among the adults. Therefore, a retrospective analysis of duodenal biopsies were performed to identify adult celiac disease among Indian patients. MATERIAL AND METHODS: A retrospective analysis of the patients, who had villous atrophy on duodenal biopsy between February, 1997 to June 2001, was performed. The clinical presentation, laboratory parameters, treatment and follow up details of patients diagnosed as adult onset celiac disease were analysed. Diagnosis of celiac disease was established in these patients as per ESPGAN criteria. RESULTS: There were 68 duodenal biopsies during the study period. Thirteen (10 were under 15 years of age and 3 had followup biopsy) biopsies were excluded. Eleven (20%) out of 55 patients with villous atrophy in their duodenal biopsy satisfied the ESPGAN criteria for the diagnosis of celiac disease. The age at the time of diagnosis ranged from 15-56 years (mean 36.8 years). Male to female ratio was 5:6. Chronic diarrhea (99%) was the most common presentation followed by weight loss (88%) and anemia (66%). Only one patient had refractory iron deficiency anemia (11%). Histopathological examination showed, subtotal villous atrophy in 6 patients and partial villous atrophy in 5. Nine out of 11 patients had raised concentration of IgA antigliadin antibody. Two patients also had raised concentration of antiendomysial antibody. All of them showed favorable clinical response to Gluten free diet. CONCLUSION: Coeliac disease is considered rare in the tropics. Our study shows that this disease may not be as infrequent as is thought.en_US
dc.description.affiliationDepartments of Medicine and Pathology, Government Medical College & Hospital, Chandigarh-160 047, India. atulsachdev@glide.net.inen_US
dc.identifier.citationSachdev A, Srinivasan V, Maheswary S, Mohan H, Ashish B, Singh LS. Adult onset celiac disease in north India. Tropical Gastroenterology. 2002 Jul-Sep; 23(3): 117-9en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/124559
dc.language.isoengen_US
dc.source.urihttps://www.tropicalgastro.comen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshBiopsyen_US
dc.subject.meshCeliac Disease --epidemiologyen_US
dc.subject.meshDuodenum --pathologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRetrospective Studiesen_US
dc.titleAdult onset celiac disease in north India.en_US
dc.typeJournal Articleen_US
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