Prevalence of coeliac disease in Turner syndrome

Acta Paediatr. 1999 Sep;88(9):933-6. doi: 10.1080/08035259950168397.

Abstract

This study was undertaken to investigate the prevalence of coeliac disease in children and adolescents with Turner syndrome. Eighty-seven children and adolescents with Turner syndrome were screened for IgA-antiendomysium antibodies (EMA) and IgA-antigliadin antibodies (AGA), 5% (4/87) being found to be EMA-positive, and 15% (13/87) to have AGA levels above normal. Of the 10 patients who were either AGA- or EMA-positive and further investigated with intestinal biopsy, four manifested villous atrophy (i.e. all three of the EMA-positive patients, but only one of the seven AGA-positive patients). The results suggest EMA-positivity to be a good immunological marker for use in screening for coeliac disease, and such screening to be justified in patients with Turner syndrome.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Antibodies, Anti-Idiotypic / blood*
  • Case-Control Studies
  • Celiac Disease / blood
  • Celiac Disease / complications*
  • Celiac Disease / epidemiology*
  • Child
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Gliadin / immunology
  • Humans
  • Immunoglobulin A*
  • Prevalence
  • Sweden / epidemiology
  • Turner Syndrome / complications*

Substances

  • Antibodies, Anti-Idiotypic
  • Immunoglobulin A
  • Gliadin