The assessment of autoimmunological status and prevalence of different forms of celiac disease among children with type 1 diabetes mellitus and celiac disease

Mediators Inflamm. 2008:2008:285989. doi: 10.1155/2008/285989.

Abstract

This study aims to assess the autoimmunological status and forms of celiac disease (CD) among children with type 1 diabetes mellitus (T1DM). The study group comprises 27 patients at the mean age of 12.30 years (+/-SD 3.12). The measurement of the level of diabetes-specific antibodies and organ-specific antibodies was gained at the T1DM-onset and repeated annually. The following risk factors influencing time of CD diagnosis were analyzed: age, sex, T1DM duration, autoantibodies, and HLA-haplotype. The prevalence of antibodies was GADA-74%, IAA-63%, IA2A-67%, ATA-11%, and ATG-4%. The intestinal biopsy revealed in 19% no changes and in 77% stage 3 (Marsh scale). In most cases, no clinical manifestation of CD was observed. The diagnosis of Hashimoto's disease was made twice. The negative correlation between the age at T1DM-onset and the interval between onset of T1DM and CD (r = -0.35, p < .05) was noted. The high-comorbidity ratio of CD and thyroiditis with T1DM demands regular screening tests especially in the first years after T1DM-onset.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Age Factors
  • Autoantibodies / immunology
  • Celiac Disease / complications
  • Celiac Disease / epidemiology*
  • Celiac Disease / immunology*
  • Child
  • Comorbidity
  • Diabetes Mellitus, Type 1 / complications*
  • Female
  • Humans
  • Male
  • Poland / epidemiology
  • Prevalence
  • Retrospective Studies
  • Risk Factors
  • Sex Factors
  • Thyroiditis / complications
  • Thyroiditis / epidemiology
  • Thyroiditis / immunology

Substances

  • Autoantibodies