Detecting celiac disease in patients with Down syndrome.

Published

Journal Article

The main purposes of this undertaking were to determine how often patients with Down syndrome (DS) are screened for celiac disease (CD) across five DS specialty clinics, which symptoms of CD are most often reported to DS specialty providers at these clinics, and, how many individuals were diagnosed with CD by these clinics. This was accomplished by following 663 individuals with DS for 1 year, across five clinics in different states specializing in the comprehensive care of people with DS. Of the 663 participants, 114 individuals were screened for CD at their visit to a DS specialty clinic. Protracted constipation (43.2%) and refractory behavioral problems (23.7%) were symptoms most often reported to DS specialty providers. During the 1 year study period, 13 patients screened positive for CD by serology. Of those, eight underwent duodenal biopsy, and three were diagnosed with CD. We conclude that CD is an important consideration in the comprehensive care of individuals with DS. However, while symptoms are common, diagnoses are infrequent in DS specialty clinics. © 2016 Wiley Periodicals, Inc.

Full Text

Duke Authors

Cited Authors

  • Sharr, C; Lavigne, J; Elsharkawi, IMA; Ozonoff, A; Baumer, N; Brasington, C; Cannon, S; Crissman, B; Davidson, E; Florez, JC; Kishnani, P; Lombardo, A; Lyerly, J; McDonough, ME; Schwartz, A; Berrier, KL; Sparks, S; Stock-Guild, K; Toler, TL; Vellody, K; Voelz, L; Skotko, BG

Published Date

  • December 2016

Published In

Volume / Issue

  • 170 / 12

Start / End Page

  • 3098 - 3105

PubMed ID

  • 27605215

Pubmed Central ID

  • 27605215

Electronic International Standard Serial Number (EISSN)

  • 1552-4833

Digital Object Identifier (DOI)

  • 10.1002/ajmg.a.37879

Language

  • eng

Conference Location

  • United States