Salazar Carolina, García-Cárdenas Jennyfer M, Paz-Y-Miño César
Centro de Investigación Genética y Genómica, Facultad de Ciencias de la Salud Eugenio Espejo, Universidad Tecnológica Equinoccial, Quito, Ecuador.
Clin Med Insights Gastroenterol. 2017 Jul 7;10:1179552217712249. doi: 10.1177/1179552217712249. eCollection 2017.
Celiac disease (CD) is an autoimmune disorder characterized by the permanent inflammation of the small bowel, triggered by the ingestion of gluten. It is associated with a number of symptoms, the most common being gastrointestinal. The prevalence of this illness worldwide is 1%. One of the main problems of CD is its difficulty to be diagnosed due to the various presentations of the disease. Besides, in many cases, CD is asymptomatic. Celiac disease is a multifactorial disease, HLA-DQ2 and HLA-DQ8 haplotypes are predisposition factors. Nowadays, molecular markers are being studied as diagnostic tools. In this review, we explore CD from its basic concept, manifestations, types, current and future methods of diagnosis, and associated disorders. Before addressing the therapeutic approaches, we also provide a brief overview of CD genetics and treatment.
乳糜泻(CD)是一种自身免疫性疾病,其特征是小肠永久性炎症,由摄入麸质引发。它与多种症状相关,最常见的是胃肠道症状。这种疾病在全球的患病率为1%。CD的主要问题之一是由于疾病表现多样而难以诊断。此外,在许多情况下,CD是无症状的。乳糜泻是一种多因素疾病,HLA - DQ2和HLA - DQ8单倍型是易感因素。如今,分子标志物正作为诊断工具进行研究。在本综述中,我们从其基本概念、表现、类型、当前和未来的诊断方法以及相关疾病等方面探讨乳糜泻。在讨论治疗方法之前,我们还简要概述了CD的遗传学和治疗情况。