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Volume 349:1673-1674 October 23, 2003 Number 17
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Screening for Celiac Disease

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 by Fasano, A.
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 by Mäki, M.
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To the Editor: Despite the unexpectedly high prevalence of celiac disease found in the study by Mäki et al. (June 19 issue),1 their use of endomysial and tissue transglutaminase antibodies as the sole serologic markers probably underestimated the prevalence of celiac disease in the cohort. One study evaluating endomysial antibodies showed that the sensitivity of this marker was 100 percent in patients with total villous atrophy, but the value plummeted to 31 percent in patients with celiac disease who had partial villous atrophy.2 Antibodies to tissue transglutaminase likewise correlate with the degree of villous atrophy.3 Addition of the admittedly less . . . [Full Text of this Article]




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