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Characteristics of Siblings With Celiac Disease Diagnosed by Family Screening

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Abstract

Objective

The aim of this study was to evaluate the features of asymptomatic siblings of index celiac patients who were diagnosed with celiac disease (CD) at the initial screening.

Methods

We reviewed hospital records of 210 children with CD. The characteristics of sibling celiacs (n=24) were compared with index celiacs (n=186).

Results

At diagnosis, sibling celiacs were older than index celiacs (mean (SD) 10.4 (2.7) vs 8.2 (4.3) years; P=0.02). There were no significant differences between sibling and index celiacs in terms of serum anti-tTG IgA titer (≥10xULN, 83.3% vs 85%), and most of the patients had moderate/severe villous atrophy in both groups. The rates of iron deficiency anemia, folic acid deficiency, wasting and stunting were comparable between sibling and index celiac patients.

Conclusions

Siblings with CD were older than index children with CD at diagnosis, and their characteristics were similar to symptomatic index children with CD, despite not having any complaints.

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Funding

Funding: None

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Authors and Affiliations

  1. Division of Pediatric Gastroenterology, Hepatology and Nutrition, Marmara University School of Medicine, Baþýbüyük Campus, Maltepe Baþibüyük Yolu Sok. No:9/1, 34854 Maltepe, Istanbul, Turkey

    Bilge S. Akkelle, Burcu Volkan, Engin Tutar &  Deniz Ertem

Authors
  1. Bilge S. Akkelle
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  2. Burcu Volkan
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  3. Engin Tutar
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  4. Deniz Ertem
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Contributions

Contributors BSA,DE,BV,ET: designed the study, analzsed and the data, revised the manuscript; BSA: wrote the first draft of the manuscript; BV,ET: gathered the data; DE: revised the manuscript critically for important intellectual content. All authors approved the final manuscript to be published and agreed to be responsible for all aspects of the work.

Corresponding author

Correspondence to Deniz Ertem.

Ethics declarations

Ethics approval: IEC, Marmara University School of Medicine; No. 9022.78, dated Jan 07, 2022.

Competing interests: None stated.

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Akkelle, B.S., Volkan, B., Tutar, E. et al. Characteristics of Siblings With Celiac Disease Diagnosed by Family Screening. Indian Pediatr 59, 867–870 (2022). https://doi.org/10.1007/s13312-022-2645-8

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  • DOI: https://doi.org/10.1007/s13312-022-2645-8

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