title: [Sensitivity and specificity of antigliadine antibodies in the diagnosis of celiac disease in a population of children in Toscana].
abstract: The aim of this study was to determine the value of IgA and IgG antigliadin antibody test (AGA) for screening, diagnosis and follow-up of coeliac disease. A rapid, simple, sensitive and accurate immunosorbent assay (ELISA) was used to determine AGA IgA and IgG in the sera of patients with untreated coeliac disease (I stage), coeliac patients in gluten withdrawal, healthy controls, children with gastroenterological disorders other than coeliac disease and children with constitutional short stature. In the I stage of coeliac disease the AGA IgA gave a sensitivity of 90.9% and a specificity of 97.9%, the IgG assay resulted in a sensitivity of 100% and a specificity of 82.3%. AGA IgG resulted positive in 17.7% of control disease group, but it's interesting to remark that they had a mean level significantly lower than in coeliac patients. On gluten free diet the titres of AGA IgA returned to normal value in three months, while the AGA IgG showed a slower decrease.
authors.affiliation: Dipartimento di Pediatria, Università di Firenze, Italia.
authors.forename: P
authors.initials: P
authors.lastname: Rosselli
authors.forename: M
authors.initials: M
authors.lastname: Pierattelli
authors.forename: R
authors.initials: R
authors.lastname: Ferrari
authors.forename: R
authors.initials: R
authors.lastname: Rinaldi
authors.forename: G
authors.initials: G
authors.lastname: Rapi
authors.forename: R
authors.initials: R
authors.lastname: Mattei
authors.forename: B
authors.initials: B
authors.lastname: Noccioli
mesh_terms: D000293:Adolescent; D000918:Antibody Specificity; D002446:Celiac Disease / Q000097:blood / Q000175:diagnosis*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005903:Gliadin / Q000276:immunology*; D006801:Humans; D007070:Immunoglobulin A / Q000032:analysis*; D007074:Immunoglobulin G / Q000032:analysis*; D007223:Infant; D007558:Italy; D008297:Male; D010940:Plant Proteins / Q000276:immunology*; D011237:Predictive Value of Tests
chemical_list: D007070:Immunoglobulin A; D007074:Immunoglobulin G; D010940:Plant Proteins; D005903:Gliadin
vernacular_title: Sensibilità e specificità degli anticorpi antigliadina nella diagnosi di celiachia in una popolazione toscana in età pediatrica.