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Rates of Celiac Disease No Higher in Patients with Intellectual Disabilities


JoDD study in deals with celiac disease and intellectual disabilities.

Celiac.com 11/05/2010 - To address study data suggesting that people with intellectual disabilities, especially men, suffer high rates of celiac disease, a team of researchers recently set out to assess rates of celiac disease in patients with intellectual disabilities.

The research team included Manouchehr Khoshbaten, Mohammad Rostami Nejad, Shaheed Beheshti, Nasrin Sharifi, Majid Torabi, David Al Dulaimi, Kamran Rostami, and Chris J. Mulder

They are affiliated with the Liver and Gastrointestinal Diseases Research Centre at Emam Reza Educational Hospital in Tabriz, Iran, the Research Center of Gastroenterology and Liver Diseases at University M.C. in Tehran, Iran, the Liver Tabriz Welfare Organization in Iran, Nutritional Research Center at Tabriz University of Medical Sciences in Iran, the School of Medicine at at University Hospital Birmingham, UK, and with the Department of Gastroenterology at VU University Medical Center in Amsterdam, The Netherlands, and with the Department of Gastroenterology, at Alexander Hospital in Redditch, UK.

A number of studies suggest that people with intellectual disabilities, especially men, suffer high rates of celiac disease. To more deeply examine the issue, the research team found 196 patients with intellectual disabilities who were being treated in rehabilitation centers in Iran's province of East Azerbaijan.

The team paired these patients with 196 healthy control subjects, and screened both groups for celiac disease using anti-tissue transglutaminase IgA antibodies (tTGA), total serum IgA levels, and Marsh-Rostami criteria to assess histological results.

Two patients (1%) showed positive tTG screens, while and duodenal biopsies revealed Marsh I levels in one patient, and Marsh 0 in the second.

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Three patients showed IgA deficiency, while one showed a positive tTGA screen. Biopsies from this patient revealed a level of Marsh IIIc.

From the control group, just one subject showed positive tTGA, while five cases were IgA deficient.  Two of the five IgA deficient patients registered positive tTG screens, but both showed normal histology.

These results show the rates of celiac disease in patients with intellectual disabilities to be 1% with biopsy confirmation, and "no significant differences in frequency of the tTGA positive participants between the study and control groups."

Interestingly, in contrast to the higher rates of gluten sensitivity in male patients affected with intellectual disabilities, male and female patients in this study showed nearly equal rates.

This study shows no difference in rates of celiac disease in patients with intellectual disability compared to those with no intellectual disability, "unless the patients have symptoms or known risk factors for celiac disease such as epilepsy or Down’s syndrome."

Thus, the study suggests, general celiac screening of people with intellectual disabilities is unnecessary.

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2 Responses:

 
Marva Siegel
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said this on
08 Nov 2010 12:53:53 PM PST
I think this is interesting and I wonder where theories start and what bases they have/or are used for actually treating individuals. It took me months of begging my doctor for a test before he would consent due to my age (48) at the time.

 
Brandon
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said this on
08 Nov 2010 2:10:47 PM PST
They didn't -gliadin, -endomysial, or IgG- antibody testing. There's way too much assumed to have not fallen through the cracks.




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Yep. Initially I had the full panel. DGP was the only positive and it's the only one my doctor orders now.

Well I wish mine was dia. earlier, I got all kinds of other food issues, and other auto immune disease that came up as complications. If you deal with and change over now you can prevent a even more limited diet. I was running a bucket list thinking I was going to die before my dia. I had slight ...

So, do they just test your DGP like they just test my TTG?

The only test I have had done is the TTG because that's what I had done initially after taking matters into my own hands and going to my local health fair. Celiac is so common they do that screening at our health fair. My number was so high that my doctor didn't order other labs and went straight...

Celiac used to be considered a children's disease - so, by the old standards, you are a bit old to be diagnosed. We now know that Celiac can start at any age. I don't know if you are a male or a female, but untreated Celiac can lead to miscarriages and infertility. And all the other stuff...