Wednesday, September 11, 2013

A Gut Check on the Rising Incidence of Celiac Disease

Every so often we receive an article noting the increasing incidence of celiac disease, and this week we are sharing a most convincing one that helps sort out whether the increased incidence is a result of improved case ascertainment or a true rise in cases.  White et al. (doi: 10.1542/peds.2013-0932) reviewed all new cases of celiac disease in southeast Scotland over a 20 year period (1990-2009) to determine if cases were diagnosed due to a classical presentation, non-classical presentation, or simply due to targeted screening.  The results are interesting in all three diagnostic categories and seal the deal on suggesting that there is a true rise occurring with this disorder.

You really need to read this study to absorb all it has to offer. In turn, perhaps, you may consider celiac even higher in your differential diagnostic compendium for a variety of symptom complaints.