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The Prevalence of Celiac Disease in Patients with Diabetes Mellitus—The Prevalence of Celiac Disease

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DOI: 10.4236/ijcm.2011.23033    3,639 Downloads   6,453 Views  


AIM: To determine the prevalence of celiac disease related autoantibodies in patients with type 1 and 2 diabetes mellitus (DM), and to compare these results with the general population. METHODS: In total, 137 consecutive patients with type 1 DM, 172 with type 2 DM and 113 age-sex matched control subjects were included into the study. Antigliadin-autoantibodies (AGA) IgG and IgA, and endomysial-antibodies(EMA) IgG and IgA antibodies were determined. Patients who were positive for one or more were offered a gastroduodenoscopic examination. RESULTS: AGA IgG positivity was detected in 38.7% (53/137) patients with type 1 DM in 26.2% (45/172) patients with type 2 DM and in 16.8% (19/113) control subjects (significant differences). AGA IgA positivity was detected in 24.8% (34/137) patients with type 1 DM, in 9.3% (16/172) patients with type 2 DM and in 3.5% (4/113) control subjects (significant differences). EMA IgG positivity was detected in 10.2% (14/137) patients with type 1 DM in 0.6% (1/176) patients with type 2 DM and 0.9% (1/113) control subjects (significant differences). EMA IgA positivity was detected in 11.7% (16/137) patients with type 1 DM in 0.6% (1/172) patients with type 2 DM and in none of control subjects. EMA IgA positivity was sig- nificantly higher in patients with type 1 DM as compared with patients with type 2 DM and controls. CONCLUSION: High prevalence of celiac disease at the diagnosis of type 1 DM is observed. Serological markers are useful for identifying celiac disease patients with type 1 DM.

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The authors declare no conflicts of interest.

Cite this paper

D. Gökalp, S. Arıkan, M. Yakut, Y. Tüzün, A. Tuzcu, M. Bahçeci, S. Arikan and İ. Soykan, "The Prevalence of Celiac Disease in Patients with Diabetes Mellitus—The Prevalence of Celiac Disease," International Journal of Clinical Medicine, Vol. 2 No. 3, 2011, pp. 201-205. doi: 10.4236/ijcm.2011.23033.


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