A Brazilian experience of the self transglutaminase-based test for celiac disease case finding and diet monitoring

作     者：Lorete Maria da Silva Kotze Ana Paula Brambila Rodrigues Luiz Roberto Kotze Renato Mitsunori Nisihara 

作者机构：Gastroenterology and Endoscopy ServicesCajuru HospitalPontifical Catholic University of ParanáCEP 80240-220CuritibaParanáBrazil Evangelical University and Laboratory of ImmunopathologyClinical HospitalFederalUniversity of ParanáCEP 80240-220CuritibaParanáBrazil 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2009年第15卷第35期

页      面：4423-4428页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Supported by Pontifical Catholic University of Paraná 

主　　题：Celiac disease Gluten Relatives Dyspepsia Diarrhea 

摘      要：AIM： To evaluate the effectiveness of a rapid and easy fingertip whole blood point-of-care test for celiac disease （CD） case finding and diet monitoring. METHODS： Three hundred individuals, 206 females （68.7%） and 94 males （31.3%）, were submitted to a rapid and easy immunoglobulin-A-dass fingertip whole blood point-of-care test in the doctor＇s office in order to make immediate clinical decisions： 13 healthy controls, 6 with CD suspicion, 46 treated celiacs, 84 relatives of the celiac patients, 69 patients with dyspepsia, 64 with irritable bowel syndrome （IBS）, 8 with Crohn＇s disease and 9 with other causes of diarrhea. RESULTS： Upper gastrointestinal endoscopy with duodenal biopsies was performed in patients with CD suspicion and in individuals with positive test outcome： in 83.3% （5/6） of the patients with CD suspicion, in 100% of the patients that admitted gluten-free diet transgressions （6/6）, in 3.8% of first-degree relatives （3/79） and in 2.9% of patients with dyspepsia （2/69）. In all these individuals duodenal biopsies confirmed CD （Marsh＇s histological classification）. The studied test showed good correlation with serologic antibodies, endoscopic and histological ***： The point-of-care test was as reliable as conventional serological tests in detecting CD cases and in CD diet monitoring.