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乳糜泻的新型疗法:一篇临床综述文章。

Novel Therapies for Celiac Disease: A Clinical Review Article.

作者信息

Ghazanfar Haider, Javed Nismat, Lee Somin, Shaban Mohammed, Cordero Dessiree, Acherjee Trishna, Hasan Khushbu Z, Jyala Abhilasha, Kandhi Sameer, Hussain Ali N, Patel Harish

机构信息

Gastroenterology, BronxCare Health System, New York, USA.

Internal Medicine, BronxCare Health System, Icahn School of Medicine at Mount Sinai, New York, USA.

出版信息

Cureus. 2023 May 14;15(5):e39004. doi: 10.7759/cureus.39004. eCollection 2023 May.

Abstract

Celiac disease is emerging as an autoimmune disorder with increasing prevalence and incidence. The mean age of presentation is also increasing with the passage of time. The delay in diagnosis is partly attributable to the asymptomatic state in which most patients present. The diagnosis of the disease is primarily based on biopsy, but serology can also be included for possible screening purposes. Although the primary management strategy is to eliminate gluten from the diet of such patients; however, compliance with the diet and follow-up to detect healing might be difficult to maintain. Therefore, there is a need to investigate further management therapies that can be easily administered and monitored. The aim of the review is to discuss the epidemiology, clinical presentation, and novel therapies being investigated for celiac disease.

摘要

乳糜泻正逐渐成为一种患病率和发病率不断上升的自身免疫性疾病。随着时间的推移,发病的平均年龄也在增加。诊断延迟部分归因于大多数患者就诊时处于无症状状态。该疾病的诊断主要基于活检,但血清学检查也可用于可能的筛查目的。尽管主要的治疗策略是从这类患者的饮食中去除麸质;然而,坚持饮食和进行随访以检测愈合情况可能难以维持。因此,有必要进一步研究易于实施和监测的治疗方法。本综述的目的是讨论乳糜泻的流行病学、临床表现以及正在研究的新疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfbd/10263194/e3af2b6c6b0a/cureus-0015-00000039004-i01.jpg

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