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Celiac disease in Middle Eastern and North African countries:A new burden?

World Journal of Gastroenterology 2010年第12期16卷 1449-1457页

作者： Kassem Barada Abbas Bitar Mohamad Abdul-Razak Mokadem Jana Ghazi Hashash Peter Green Division of Gastroenterology Department of Internal MedicineAmerican University of Beirut Medical Center Department of Internal Medicine American University of Beirut Medical Center Department of Internal Medicine Indiana University School of Medicine Department of Internal Medicine University of Pittsburgh Medical Center Division of Gastroenterology Department of Internal MedicineColumbia University College of Physicians and Surgeons

Celiac disease(CD) is now recognized as a common disorder among Middle Eastern(ME) and North African(NA) *** aim of this review is to assess the available data regarding CD in the ME and NA and to compare this information with that of Western countries.A literature review was performed using the electronic databases PubMed and Medline(1950-2008) as search engines,and "celiac disease" was used as a Mesh *** search was limited to ME and NA *** prevalence of CD in ME and NA countries among low risk populations is similar to that of Western countries,but is higher in high risk populations such as those with type 1 *** is underestimated because of lack of clinical suspicion and lack of patient *** presentations in term of gastrointestinal,hematologic,skeletal,and liver manifestations are similar between both populations except for a high prevalence of short stature in some ME and NA *** studies have addressed atypical or silent *** in the West,diagnosis is initially made by serological tests and is confirmed by small intestinal ***-free diet is the main mode of treatment with a higher apparent adherence rate than in the *** disease complications result from *** disease is strongly associated with HLA DQ2 and to a lesser extent with HLA DQ8 *** conclusion,CD prevalence is underestimated,with little data available about its malignant *** parameters in the ME and NA are otherwise similar to those in Western countries.

关键词： Celiac disease Gluten-free diet Insulin dependent diabetes mellitus iron defi ciency anemia Middle East

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