Academic Unit of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK.
Division of Clinical Medicine, School of Medicine and Population Health, University of Sheffield, Sheffield, UK.
Br J Hosp Med (Lond). 2024 Sep 30;85(9):1-21. doi: 10.12968/hmed.2024.0362.
Coeliac disease is a common autoimmune disorder that affects nearly 1% of the general population. Current diagnostic strategies involve active case finding, serological tests, and endoscopy with biopsies. However, many patients with coeliac disease remain undiagnosed due to a wide gap between clinical guidelines and real-world practice in the diagnosis of adult coeliac disease. This highlights the need for increased education, training, and targeted quality-improvement interventions to optimise the diagnosis of coeliac disease.
乳糜泻是一种常见的自身免疫性疾病，影响近 1%的普通人群。目前的诊断策略包括主动病例发现、血清学检测和内镜活检。然而，由于临床指南与成人乳糜泻诊断的实际情况之间存在较大差距，许多乳糜泻患者仍未得到诊断。这凸显出需要加强教育、培训和有针对性的质量改进干预措施，以优化乳糜泻的诊断。
