Makovický P E, Makovický P A, Jílek F
Fakulta agrobiologie, potravinových a prírodních zdrojů, Katedra veterinárních disciplin, Ceska zemĕdĕlská univerzita, Praha
Epidemiol Mikrobiol Imunol. 2008 Aug;57(3):90-6.
Celiac disease is a lifelong autoimmune intestinal disorder caused by sensitivity to gluten. In clinical practice, no causal treatment is currently available and the disease can only be treated by strict adherence to a gluten-free diet. The disease that was known in ancient Greece continues to draw attention of the professional public worldwide and has been studied by many researchers. As a result, a range of theoretical and practical knowledge has been obtained and thus further aspects of the disease can be addressed. At present the discussion is open not only to doctors, pharmacists, scientists and researchers at various posts, but also to economists, lawyers and managers. In the spectrum of disease manifestations, some new forms were diagnosed, including associations with other diseases. Therefore, a higher prevalence of this disease has been reported. Multiple review articles appeared in both the local and international literature to familiarize the professional public with the symptoms and signs of the disease. Their common aim was to contribute to the detection of the disease in children and adults. Despite that, the disease remains underdiagnosed. In this context, new challenges emerge in the field of celiac disease. The current practice in diagnosing celiac disease and the available and candidate dietary interventions for effective protection and support therapy are described. The importance of early screening and advanced approaches to disease management is underlined.
乳糜泻是一种由对麸质敏感引起的终身性自身免疫性肠道疾病。在临床实践中,目前尚无因果性治疗方法,该病只能通过严格坚持无麸质饮食来治疗。这种在古希腊就已为人所知的疾病,至今仍吸引着全球专业人士的关注,许多研究人员都对其进行了研究。因此,已经获得了一系列理论和实践知识,从而可以进一步探讨该疾病的其他方面。目前,讨论不仅面向各个岗位的医生、药剂师、科学家和研究人员,也面向经济学家、律师和管理人员。在疾病表现谱中,诊断出了一些新的形式,包括与其他疾病的关联。因此,据报道该病的患病率有所上升。国内外文献中出现了多篇综述文章,以使专业人士熟悉该疾病的症状和体征。它们的共同目标是促进对儿童和成人该疾病的检测。尽管如此,该病仍未得到充分诊断。在此背景下,乳糜泻领域出现了新的挑战。本文描述了目前诊断乳糜泻的实践以及用于有效保护和支持治疗的现有和候选饮食干预措施。强调了早期筛查和先进疾病管理方法的重要性。