Prevalence and natural history of potential celiac disease in adult patients

Federico Biagi, Lucia Trotta, Claudia Alfano, Davide Balduzzi, Vincenza Staffieri, Paola I. Bianchi, Alessandra Marchese, Claudia Vattiato, Alessandra Zilli, Ombretta Luinetti, Paolo Gobbi, Gino R. Corazza

Research output: Contribution to journalArticlepeer-review

Abstract

Objective. Potential celiac disease (PCD) is a form of CD characterized by positive endomysial/tissue transglutaminase antibodies and a preserved duodenal mucosa despite a gluten-containing diet (GCD); it can evolve into flat, active CD. This evolution is, however, not certain. Our aim was to retrospectively study the prevalence and the natural history of adult patients with PCD. Methods. The clinical notes of all 47 patients with PCD attending our clinic between September 1999 and October 2011 were retrospectively reevaluated. To study their clinical features, patients with active CD, randomly selected and matched for sex and date of birth, served as controls. Symptoms, associated diseases, familiarity, and laboratory data at diagnosis were compared. Results. Prevalence of PCD among all celiac patients directly diagnosed in our center was 42/187, (1/4.4, 18.3%, 95% confidence interval (CI) 13.3-23.4%). Age at diagnosis, laboratory data, prevalence of symptoms, associated diseases, and familiarity for CD did not differ between patients with PCD and those with active CD. Some patients with PCD maintained a normal duodenal mucosa for many years and their symptoms spontaneously improved despite maintaining a GCD. Conclusions. PCD is not a rare form of CD. Having found no difference at all in age at diagnosis and clinical features between PCD and active CD could suggest that PCD is not a prodrome of CD but is a separate entity that can only subsequently evolve into active CD.

Original languageEnglish
Pages (from-to)537-542
Number of pages6
JournalScandinavian Journal of Gastroenterology
Volume48
Issue number5
DOIs
Publication statusPublished - May 2013

Keywords

  • Disease progression
  • Follow up studies
  • Gliadins
  • Intraepithelial lymphocytes
  • Tissue transglutaminase

ASJC Scopus subject areas

  • Gastroenterology

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