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[乳糜泻患者的诊断与随访指南。挪威乳糜泻协会]

[Guidelines for diagnosis and follow-up of patients with celiac disease. Norwegian Coeliac Association].

作者信息

Fluge G, Dybdahl J H, Ek J, Løvik A, Røhme R

机构信息

Barneklinikken, Haukeland sykehus, Bergen.

出版信息

Tidsskr Nor Laegeforen. 1997 Feb 20;117(5):672-4.

PMID:9102958
Abstract

The incidence and prevalence of coeliac disease in Norway is probably much higher than previously recognized. A prevalence of 1 per 676 individuals has been reported among adults in Norway. A much higher incidence has been documented in Sweden, both among children (one per approximately 300 liveborns) and among adults (1:256 healthy blood donors). Similar prevalence figures have been reported from Italy among young students. Eight new, biopsy-proven cases of coeliac disease were recently found by screening 2296 blood donors in Bergen (1:287). The symptoms of coeliac disease are often vague. Oligo- and asymptomatic cases often occur. The advisory council of the Norwegian Coeliac Association has established guidelines for the diagnostic work-up and for follow-up of patients with coeliac disease, in order to raise awareness of the disease, achieve a standardized work-up procedure and improve follow-up.

摘要

挪威乳糜泻的发病率和患病率可能比之前认为的要高得多。据报道,挪威成年人中乳糜泻的患病率为每676人中有1人。瑞典记录的发病率要高得多,在儿童中(每约300名活产儿中有1人)以及成年人中(1:256健康献血者)均是如此。意大利年轻学生中也报告了类似的患病率数据。最近在卑尔根对2296名献血者进行筛查时发现了8例经活检证实的新乳糜泻病例(1:287)。乳糜泻的症状通常不明确。轻症和无症状病例很常见。挪威乳糜泻协会咨询委员会已制定了乳糜泻患者诊断检查和随访的指南,以提高对该疾病的认识,实现标准化的检查程序并改善随访。

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Population-based screening for celiac disease reveals that the majority of patients are undiagnosed and improve on a gluten-free diet.基于人群的乳糜泻筛查表明,大多数患者未被诊断,并且在无麸质饮食后得到改善。
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