Celiac.com Sponsors:

Celiac.com Sponsor:
No popular authors found.
Ads by Google:
Celiac.com Sponsors:
 
Celiac.com Sponsor:

Categories

No categories found.


Get Celiac.com's E-Newsletter





Ads by Google:


Follow / Share


  FOLLOW US:
Twitter Facebook Google Plus Pinterest RSS Podcast Email  Get Email Alerts
SHARE:

Popular Articles

No popular articles found.
Celiac.com Sponsors:

Identification of Celiac Disease in Primary Care

W. Dickey, S.A. McMillan, D.F. Hughes
Scandinavian Journal of Gastroenterology 1998; 33: 491-3
Departments of Gastroenterology and Histopathology, Altnagelvin Hospital, Londonderry; Regional Immunology Service, Royal Group of Hospitals, Belfast; Northern Ireland, UK

Ads by Google:

Background: Coeliac disease is common yet often undiagnosed because symptoms may be trivial, non-specific, or non-gastrointestinal, or because of lack of clinician awareness. Serum IgA class endomysial antibodies (EmA) have high specificity for coeliac disease and may facilitate case-finding by clinicians other than gastroenterologists. We assessed the appropriateness and diagnostic yield of requests for EmA by primary care general practitioners in a defined geographical area of Northern Ireland. Methods: We identified patients who had EmA requests by their general practitioners during 1994-1996. Individual patient questionnaires were posted to the general practitioners concerned, seeking information on indications for testing, management following the result and final diagnosis. We compared new patient diagnosis rates in two catchment areas, one served by a large district general hospital with a medical gastroenterology facility and the other by smaller hospitals without.

Results: A total of 239 patients had coeliac profile testing by 69 of 177 general practitioners in the area. Data were available for 181 patients not previously known to have coeliac disease of whom 20 (11%) had EmA. All EmA +ve patients were referred to hospital where 19 underwent small bowel biopsy, which confirmed coeliac disease in all 19. Only 7 (35%) of the 20 had diarrhea and there was no significant difference in EmA prevalence among patients tested with and without diarrhea. Although the mean number of new patients (per 100,000 population per annum) diagnosed by biopsy was 11 at the large hospital compared with 5 elsewhere, the numbers identified by EmA in general practice for the two catchment areas were similar (2, 3). Conclusion: General practitioners have an important role in the identification of patients with coeliac disease, particularly where there is no local medical gastroenterology facility, which is facilitated by EmA testing.

Celiac.com welcomes your comments below (registration is NOT required).










Comments




Rate this article and leave a comment:
Rating: * Poor Excellent
Your Name *: Email (private) *:




In Celiac.com's Forum Now:


Welcome to the community here. I am not Catholic, but have been a member here for many years, and a moderator for ten. This topic comes up from time to time. I am Episcopalian, similar in most beliefs. Talk to your priest. In my church, receiving one form of communion is sufficient to m...

At first I thought it was an infected or clogged (with a stone) salivary gland, but after taking a gander at my tongue late this afternoon, I see it is a large aphthous ulcer on the right side of my tongue, and it hurts. Any micro-movement, even, seems to cause pain. Swallowing is no fun. Eating ...

Hi, I am new here and I was diagnosed about a year ago with NCGS. I am sensitive enough that I need my own toaster, my own jar of peanut butter, etc but I can drink the "de-glutened" beers that seem to bother some. I have accepted that I can never again eat anything or anywhere new without scou...

Great post!

I have very long hair, and I am ALWAYS moving it away from my mouth when eating, it ends up in my mouth a few strands at least once a day, And I brush it to the side with my hands at least once a hour......Gluten in a shampoo was a nightmare for CC issues, I know this cause the one I used to use ...