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Celiac disease.

Oral diseases
October 1, 2013
E Rivera et al. (3 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to describe the clinical manifestations of celiac disease and the effectiveness of a gluten-free diet in managing symptoms.

Results Summary

The study found that a strict gluten-free diet leads to marked improvement in symptoms for most celiac disease patients, addressing both gastrointestinal and extra-intestinal manifestations. It also highlighted the diagnostic process involving serum autoantibody testing and intestinal biopsy.

Population

Genetically predisposed individuals with celiac disease, including children and adults.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (1)
InterventionDirectionEndpointPopulationDosageImpactClaim #
strict gluten-free diet
decrease
symptoms
positive subject
marked improvement
bring a marked improvement
#1
Abstract

Celiac disease, with a prevalence around 1% of the general population, is the most common genetically-induced food intolerance in the world. Triggered by the ingestion of gluten in genetically predisposed individuals, this enteropathy may appear at any age, and is characterized by a wide variety of clinical signs and symptoms. Among them, gastrointestinal presentations include chronic diarrhea, abdominal pain, weight loss or failure to thrive in children; but extra-intestinal manifestations are also common, and actually appear to be on the rise. They include a large variety of ailments, such as dermatitis Herpetiformis, anemia, short stature, osteoporosis, arthritis, neurologic problems, unexplained elevation of transaminases, and even female infertility. For the clinician interested in oral diseases, celiac disease can lead to delayed tooth eruption, dental enamel hypoplasia, recurrent oral aphthae. Diagnosing celiac disease requires therefore a high degree of suspicion followed by a very sensitive screening test: serum levels of the autoantibody anti-tissue transglutaminase. A positive subject will then be confirmed by an intestinal biopsy, and will then be put on a strict gluten-free diet, that in most cases will bring a marked improvement of symptoms. Newer forms of treatment which in the future will probably be available to the non-responsive patients are currently being actively pursued.

Medical Subject Headings (MeSH)
AutoantibodiesBiopsyCeliac DiseaseDiet, Gluten-FreeGTP-Binding ProteinsHumansIntestinal MucosaMouth DiseasesProtein Glutamine gamma Glutamyltransferase 2Tooth DiseasesTransglutaminases
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations15
Citations/Year1.3
Relative Citation Ratio0.63
NIH Percentile34%
Research Impact Scores
APT Score0.50
Weight Score1.43
Normalized Score0.69
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