[The adolescent celiac].
A group of 81 teenage coeliac patients were recently followed to monitor their compliance with a gluten free diet and also to correlate this with: their general wellbeing, height and weight, antigliadin and antiendomisyal antibody levels and jejunal mucosa patterns. Fifty two patients (64.1%) were on a strict gluten free diet; 18 (22.3%) admitted an occasional gluten intake; 11 (13.6%) were on a normal diet. Symptoms were more frequent in non-compliers that in compliers. There was no appreciable difference between the groups in regard to height and body-mass index, but patients on a normal diet were lighter than the others. Small bowel biopsy was performed on 18 patients with various histological findings. Antigliadin antibodies and antiendomysium antibodies were good indications of a patient's gluten free diet compliance and mucosal damage.
Lazzari
R
R
Clinica Pediatrica III, Università di Bologna, Italia.
Collina
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A
Masi
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M
Vallini
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M
Corvaglia
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L
Bochicchio
A
A
D000293:Adolescent; D000906:Antibodies / Q000097:blood; D015992:Body Mass Index; D001835:Body Weight; D002446:Celiac Disease / Q000097:blood / Q000178:diet therapy; D002648:Child; D005260:Female; D005903:Gliadin / Q000276:immunology; D006801:Humans; D008297:Male; D009210:Myofibrils / Q000276:immunology; D010349:Patient Compliance
D000906:Antibodies; D005903:Gliadin
Il celiaco adolescente.