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[抗麦醇溶蛋白、抗网硬蛋白、抗肌内膜抗体:在儿童乳糜泻诊断及随访中的价值]

[Antigliadin, antireticulin, antiendomysium antibodies: value in the diagnosis and follow-up of celiac disease in children].

作者信息

Olives J P, Baudon J J, Dabadie A, Fontaine J L, Lamireau T, Morali A, Rieu D, Sarles J, Schmitz J, Touhami M

机构信息

Service de médecine infantile D, CHU Purpan, Toulouse, France.

出版信息

Arch Pediatr. 1994 Feb;1(2):181-5.

PMID:7987448
Abstract

In recent years, the clinical spectrum of coeliac disease has changed and forms with mild aspecific symptoms are today frequent. Therefore many infants are submitted to jejunal biopsy in order to exclude coeliac disease or to allow an early diagnosis. This has led to a search for a simple and reliable diagnostic test of coeliac disease in order to limit the use of jejunal biopsy. Recent data suggest that the study of serum antigliadin, antireticulin and antiendomysium antibodies may possibly play the role. In this paper the working group on coeliac disease of the Groupe Francophone de Gastroentérologie et Nutrition Pédiatriques expresses its view on the place of the dosages of these antibodies in the diagnosis and follow up procedures of coeliac disease in infants and children. At the present time, although it allows a simplification of the procedures, these dosages are presently not sufficiently reliable to serve as a substitute of jejunal biopsy.

摘要

近年来,乳糜泻的临床谱发生了变化,如今以轻度非特异性症状形式出现的情况很常见。因此,许多婴儿接受空肠活检以排除乳糜泻或进行早期诊断。这导致人们寻求一种简单可靠的乳糜泻诊断测试,以限制空肠活检的使用。最近的数据表明,血清抗麦胶蛋白、抗网硬蛋白和抗肌内膜抗体的研究可能发挥作用。在本文中,法语国家小儿胃肠病学和营养学会乳糜泻工作组就这些抗体检测在婴幼儿乳糜泻诊断和随访程序中的地位发表了看法。目前,尽管这些检测能简化程序,但目前其可靠性还不足以替代空肠活检。

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