Type 1 diabetes,thyroid, gastric and adrenal humoral autoantibodies are present altogether in almost one third of adult celiac patients at diagnosis,with a higher frequency than children and adolescent celiac patients |
| |
Authors: | Claudio Tiberti Francesca Panimolle Raffaele Borghini Monica Montuori Chiara Maria Trovato Tiziana Filardi |
| |
Affiliation: | 1. Department of Experimental Medicine, “Sapienza” University of Rome, Rome, Italy;2. claudio.tiberti@uniroma1.it;4. Department of Internal Medicine and Clinical Specialties, “Sapienza” University of Rome, Rome, Italy;5. Department of Pediatrics, Pediatric Gastroenterology and Liver Unit, “Sapienza” University of Rome, Rome, Italy |
| |
Abstract: | AbstractBackground: No data are available on the frequency of organ-specific humoral autoimmunity at diagnosis of adult celiac disease (CD).Aim: To evaluate the humoral immunoreactivities specific of type 1 diabetes (T1D), thyroid (THD), atrophic-gastritis (AG) and Addison’s (AD) diseases in 92 adult CD patients at diagnosis and 237 adult healthy subjects (CTRL).Methods: T1D, THD and AD specific autoantibodies were analyzed by radioimmunoprecipitation assays. AG autoantibodies were detected by enzyme-linked immunosorbent assay.Results: Of 92?CD patients, 31.5% were positive for at least one of the organ-specific autoantibodies investigated (p?.0001 vs CTRL). Thyroid, diabetes, gastric and adrenal-autoantibodies, that increase with age at diagnosis, were detected in 12.0%, 10.9%, 10.9%, 2.2% of CD patients, respectively. Gastric- and diabetes- rather than thyroid- and adrenal-autoimmunity seem to be specifically related to presence of CD.Conclusions: One third of adult CD patients at diagnosis is target of at least one organ-specific autoantibody. A systematic organ-specific autoantibody screening in these patients might be of value to promptly identify, prevent or treat the relative diseases. |
| |
Keywords: | Celiac disease organ-specific autoimmunity humoral autoimmunity |
|
|