Celiac disease prevalence in epileptic children from Serbia

Celiac disease (CD) is a genetically determined autoimmune enteropathy, induced by gluten ingestion. To date, different prevalences of CD in children with epilepsy have been reported. The aim of this study was to determine CD prevalence in our patients with epilepsy, using anti-tissue transgl...

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Main Authors: Zlatko Djurić, Aleksandar Nagorni, Bosa Jocić-Jakubi, Milena Dimić, Martin Novak, Radovan Milićević, Goran Radenković
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2012-06-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/1629
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author Zlatko Djurić
Aleksandar Nagorni
Bosa Jocić-Jakubi
Milena Dimić
Martin Novak
Radovan Milićević
Goran Radenković
author_facet Zlatko Djurić
Aleksandar Nagorni
Bosa Jocić-Jakubi
Milena Dimić
Martin Novak
Radovan Milićević
Goran Radenković
author_sort Zlatko Djurić
collection DOAJ
description Celiac disease (CD) is a genetically determined autoimmune enteropathy, induced by gluten ingestion. To date, different prevalences of CD in children with epilepsy have been reported. The aim of this study was to determine CD prevalence in our patients with epilepsy, using anti-tissue transglutaminase (tTG) antibodies as a screening test. One hundred twenty-five children (72 girls, 53 boys; age range: 2-18 years, mean age: 10.51 +/- 3.53) with idiopathic epilepsy from South East Serbia were tested for immunoglobulin (IgA) tTG antibodies. All positive patients were offered endoscopic small bowel biopsy. Biopsies were examined histopathologically in order to confirm the CD diagnosis. The control group consisted of 150 healthy children. Three patients with epilepsy were positive for IgA tTG antibodies. In all of them, small bowel biopsy was performed, and only one was proven to have CD by histopathology (Marsh IIIa grade). The prevalence of biopsy-proven CD in children with epilepsy was not significantly higher in the study group compared to controls (0.8% vs.0.6%, p > 0.05). The results of this study indicate that children with idiopathic epilepsy from our region should not be routinely tested for CD.
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publisher Hacettepe University Institute of Child Health
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spelling doaj-art-9e061aeca3264a22a2a120f1a30381d52025-08-20T02:01:56ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212012-06-01543Celiac disease prevalence in epileptic children from SerbiaZlatko Djurić0Aleksandar NagorniBosa Jocić-JakubiMilena DimićMartin NovakRadovan MilićevićGoran RadenkovićDepartment of Gastroenterology, Children's Hospital, Nis, Serbia. Celiac disease (CD) is a genetically determined autoimmune enteropathy, induced by gluten ingestion. To date, different prevalences of CD in children with epilepsy have been reported. The aim of this study was to determine CD prevalence in our patients with epilepsy, using anti-tissue transglutaminase (tTG) antibodies as a screening test. One hundred twenty-five children (72 girls, 53 boys; age range: 2-18 years, mean age: 10.51 +/- 3.53) with idiopathic epilepsy from South East Serbia were tested for immunoglobulin (IgA) tTG antibodies. All positive patients were offered endoscopic small bowel biopsy. Biopsies were examined histopathologically in order to confirm the CD diagnosis. The control group consisted of 150 healthy children. Three patients with epilepsy were positive for IgA tTG antibodies. In all of them, small bowel biopsy was performed, and only one was proven to have CD by histopathology (Marsh IIIa grade). The prevalence of biopsy-proven CD in children with epilepsy was not significantly higher in the study group compared to controls (0.8% vs.0.6%, p > 0.05). The results of this study indicate that children with idiopathic epilepsy from our region should not be routinely tested for CD. https://turkjpediatr.org/article/view/1629
spellingShingle Zlatko Djurić
Aleksandar Nagorni
Bosa Jocić-Jakubi
Milena Dimić
Martin Novak
Radovan Milićević
Goran Radenković
Celiac disease prevalence in epileptic children from Serbia
The Turkish Journal of Pediatrics
title Celiac disease prevalence in epileptic children from Serbia
title_full Celiac disease prevalence in epileptic children from Serbia
title_fullStr Celiac disease prevalence in epileptic children from Serbia
title_full_unstemmed Celiac disease prevalence in epileptic children from Serbia
title_short Celiac disease prevalence in epileptic children from Serbia
title_sort celiac disease prevalence in epileptic children from serbia
url https://turkjpediatr.org/article/view/1629
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