[Correctness of diagnosis of celiac disease based on personal data].
A way of coeliac disease diagnosis was assessed in 348 children, Only 14% of patients has been examined according to ESPGAN recommendations and in the proper time. Diagnosis has been completed in 123 patients, and coeliac disease has been diagnosed only in 38 of them. The I biopsy has not been performed in 96 children, the II biopsy--in 136 children, gluten-free diet has not been observed in 105 children after the I biopsy. Other causes of diagnostic failures included: prolongation of the consecutive stages and improper histological evaluation, change of biopsies order, erroneous clinical evaluation. Diagnosis according to ESPGAN recommendations is practically very difficult and time consuming. Immunological markers of coeliac disease (IgA EmA, ARA) should lead to simplification and adjustment of those recommendations in Poland.
Michałowicz-Wojczyńska
E
E
Kliniki Pediatrii, CMKP, Warszawie.
Orłowska
J
J
Rozwenc
B
B
Soplińska
E
E
D000293:Adolescent; D001707:Biopsy, Needle / Q000379:methods / Q000592:standards; D002446:Celiac Disease / Q000175:diagnosis* / Q000178:diet therapy / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D005188:False Negative Reactions; D005983:Glutens / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D007223:Infant; D007421:Intestine, Small / Q000473:pathology*; D013997:Time Factors
D005983:Glutens
Prawidłowość rozpoznawania celiakii na podstawie własnego materiału.