Parco Sergio, Città Angelo, Vascotto Fulvia, Tamaro Giorgio
Immunopathology Unit, Burlo Garofolo Children's Hospital, Trieste, Italy.
Clin Exp Gastroenterol. 2011;4:121-5. doi: 10.2147/CEG.S19225. Epub 2011 May 15.
Many investigators consider children's drawings to be an important test in the evaluation of stress and anxiety, but few studies have examined the reliability and validity of indicators of emotional distress in children's projective drawings. In this report, we describe screening tests in children coming to the Friuli Venezia Giulia region in Northeastern Italy from non-European Union regions and suspected to have celiac disease, the problems involved in diagnosis of the disease, and the "drawn double nostalgia" of Romanian children for both Italian food and traditional Romanian foods. Of 3150 Western European cases, we found 712 with positive antibodies for IgA/IgG antitransglutaminase, 174 with a positive antiendomysium antibody confirmation test, and 20 with an IgA deficit. Of the children examined, 93% were children native to Western Europe, 4% were immigrants from Eastern Europe, and 1.6% originated from Africa. Among these, four Romanian children with celiac disease brought in their drawings, as requested in a hospital questionnaire. The prevalence of celiac disease is destined to increase among immigrants. Economic problems are common, and the twin nostalgia of immigrant children for foods and tastes that are "cozonac" (from the native country) and "panettone" (Italian cake flavor) represents a problem that will be difficult to resolve. Only some children's hospitals in Italy, ie, Burlo Garofolo and Gaslini, public and private foundations, or volunteer associations would be able to deal with this problem.
许多研究人员认为儿童绘画是评估压力和焦虑的一项重要测试，但很少有研究考察儿童投射画中情绪困扰指标的可靠性和有效性。在本报告中，我们描述了对来自非欧盟地区、疑似患有乳糜泻而来到意大利东北部弗留利-威尼斯朱利亚地区的儿童进行的筛查测试、该疾病诊断中涉及的问题，以及罗马尼亚儿童对意大利食物和传统罗马尼亚食物的“双重怀旧绘画”。在3150例西欧病例中，我们发现712例抗组织转谷氨酰胺酶IgA/IgG抗体呈阳性，174例抗肌内膜抗体确认试验呈阳性，20例存在IgA缺乏。在接受检查的儿童中，93%是西欧本地人，4%是来自东欧的移民，1.6%来自非洲。其中，4名患有乳糜泻的罗马尼亚儿童应医院问卷要求带来了他们的绘画作品。乳糜泻在移民中的患病率注定会上升。经济问题很常见，移民儿童对“cozonac”（来自祖国）和“潘妮托尼”（意大利蛋糕口味）等食物和味道的双重怀旧是一个难以解决的问题。只有意大利的一些儿童医院，即布尔洛·加罗福洛医院和加斯利尼医院、公立和私立基金会或志愿者协会能够处理这个问题。
