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Autoimmune diseases in coeliac disease: effect of gluten exposure

Content Provider	SAGE Publishing
Author	Ouaka-Kchaou, Asma Ennaifer, Rym Elloumi, Hela Gargouri, Dalila Hefaiedh, Rania Kochlef, Asma Romani, Malika Kilani, Afef Kharrat, Jamel Ghorbel, Abdeljabbar
Abstract	Introduction: the prevalence of autoimmune diseases is increased in patients with coeliac disease. Duration of gluten exposure seems to predispose adolescents with coeliac disease to autoimmune diseases. Aim: In a retrospective cohort study, we assessed the relationship between autoimmune disorders and actual gluten exposure in patients with coeliac disease. Patients and methods: the frequency of autoimmune disorders was evaluated in 64 patients (53 females, 11 males, mean age 29 years, range 16—63) with coeliac disease. The effect of age at the end of follow up, age at diagnosis of coeliac disease, actual gluten-exposure time, gender and diagnostic delay was assessed. Results: the prevalence of autoimmune diseases was 17%. Mean duration of gluten exposure was 26 and 25 years for patients with and without autoimmunity, respectively. Logistic regression showed that a longer mean follow up (P = 0.044) was related to the prevalence of autoimmune disorders while actual gluten exposure was not predictive. Conclusion: in this study, the prevalence of autoimmune diseases in patients with late coeliac disease diagnosis does not correlate with duration of gluten intake. Confirmatory prospective, multicentre studies of the effect of gluten-free diet are needed in adults.
Related Links	https://journals.sagepub.com/doi/pdf/10.1177/1756283X08096612?download=true
Starting Page	169
Ending Page	172
Page Count	4
ISSN	17562848
Issue Number	3
Volume Number	1
Journal	Therapeutic Advances in Gastroenterology (TAG)
e-ISSN	17562848
DOI	10.1177/1756283X08096612
Language	English
Publisher	Sage Publications UK
Publisher Date	2008-09-04
Publisher Place	London
Access Restriction	Open
Subject Keyword	coeliac disease autoimmune disease gluten exposure prevalence gluten-free diet
Content Type	Text
Resource Type	Article
Subject	Gastroenterology

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