Detection of asymptomatic celiac disease in two siblings from a mother with non-celiac gluten sensitivity
Gastroenterology and Hepatology from Bed to Bench,
Vol. 11 No. 3 (2018),
2 Khordad 2018
,
Page 269-272
https://doi.org/10.22037/ghfbb.v0i0.1394
Abstract
Non-celiac gluten sensitivity and celiac disease are known to be two distinct clinical entities, however, non-celiac gluten sensitivity has been detected in a proportion of first-degree relatives of celiac patients. Herein for the first time we describe the occurrence of asymptomatic celiac disease in two siblings, a girl and a boy, whose mother suffered from a proven non-celiac gluten sensitivity. Both the 12-year old girl and 9-year old boy were positive for anti-endomysial and anti-tissue transglutaminase antibodies of IgA class at a very high and low titer, respectively. Duodenal biopsy confirmed the diagnosis of active celiac disease (severe villous flattening) in the girl, whereas her brother had Marsh 1 lesion consistent with a potential celiac disease. This case report indicates that antibody screening for celiac disease can be recommended in any symptomatic or asymptomatic first-degree relatives of patients with non-celiac gluten sensitivity.
Keywords: Celiac disease, Non-celiac gluten sensitivity, Screening, Serology, Relatives, Familiarity.
(Please cite as: VoltaU, CaioG, ManfrediniR, De Giorgio R. Detection of asymptomatic celiac disease in two siblings from a mother with non-celiac gluten sensitivity. Gastroenterol Hepatol Bed Bench 2018;11(3):269-272).
- celiac disease
- non-celiac gluten sensitivity
- screening
- serology
- relatives
- familiarity.
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References
References
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