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Prevalence of celiac disease in north Indian children
Malobika Bhattacharya1, A P Dubey, N B Mathur
1Department of Pediatrics, Maulana Azad Medical College and Lok Nayak Hospital, Delhi 110 002, India.
Insights
Celiac disease (CD) prevalence in North Indian children is 1%, based on screening 400 children aged 6 months to 12 years. This study provides crucial data on pediatric CD in the region.
Area of Science:
- Pediatric Gastroenterology
- Immunology
- Public Health
Background:
- Celiac disease (CD) is increasingly diagnosed in North India's wheat-consuming population.
- Limited data exists on the prevalence of pediatric CD in this region due to scarce screening studies.
Purpose of the Study:
- To determine the prevalence of celiac disease in children aged 6 months to 12 years.
- To screen children attending a tertiary care hospital in North India for CD.
Main Methods:
- Screening of 400 children using antitissue transglutaminase (tTG) antibodies.
- Endoscopic duodenal biopsy for tTG-positive subjects.
- Diagnosis based on modified ESPGHAN criteria.
Main Results:
- Four patients were diagnosed with celiac disease.
- The overall prevalence of CD in the study population was 1%.
Conclusions:
- The study establishes a 1% prevalence of pediatric celiac disease in North India.
- Findings align with Western serological screening studies, highlighting the need for regional awareness and screening.
Abstract:
Celiac disease (CD) is being increasingly reported from the wheat-eating population of north India. However, the exact prevalence of CD in children is not known as population screening studies are scarce. Our study aimed to determine the prevalence of CD in 400 children, 6 months to 12 years of age attending pediatrics department of a tertiary care hospital in north India. The study population was screened for antitissue transglutaminase (tTG) antibodies. Endoscopic duodenal biopsy was done in the anti--tTG positive subjects. Four patients were diagnosed with CD as per the modified ESPGHAN criteria. The prevalence of CD thus was 1 %, which was in concordance with screening studies using serological markers conducted in the West.
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