Buczkowska E O
Ośrodka Diabetologicznego Dzieci i Młodziezy w Gliwicach.
Przegl Lek. 1998;55(6):346-8.
A coincidence of celiac disease and insulin-dependent diabetes mellitus has been described in several studies. Celiac disease appears to be more common among patients with IDDM than in general population. The diagnosis of celiac disease requires histologic evidence of villous atrophy and a positive antibody test result. Typical gastrointestinal complaints of celiac disease are rare in IDDM patients, while atypical isolated symptoms of celiac are more common. It is recommended that all young diabetic patients, even those asymptomatic, should be screened for celiac. Routine screening is recommended repeatedly during first years after the diagnosis of IDDM.
多项研究描述了乳糜泻与胰岛素依赖型糖尿病的并存情况。乳糜泻在胰岛素依赖型糖尿病患者中似乎比在普通人群中更为常见。乳糜泻的诊断需要绒毛萎缩的组织学证据和抗体检测结果呈阳性。乳糜泻典型的胃肠道症状在胰岛素依赖型糖尿病患者中很少见，而乳糜泻非典型的孤立症状则更为常见。建议对所有年轻糖尿病患者，即使是无症状者，都应进行乳糜泻筛查。在胰岛素依赖型糖尿病诊断后的头几年，建议反复进行常规筛查。
