Is the screening for celiac disease useful in anorexia nervosa?

Is the screening for celiac disease useful in anorexia nervosa?

The main objective of the study was to prospectively assess if the prevalence of celiac disease (CD) in patients with anorexia nervosa (AN) is higher than that reported in the general population to require a regular screening program. The study was conducted at the Neuropsychiatry Unit of “Bambino G...

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Bibliographic Details
Published in:European journal of pediatrics 2013-02, Vol.172 (2), p.261-263
Main Authors: Basso, Maria Sole, Zanna, Valeria, Panetta, Fabio, Caramadre, Anna Maria, Ferretti, Francesca, Ottino, Simonetta, Diamanti, Antonella
Format: Article
Language:eng
Subjects:
Anorexia Nervosa - epidemiology
Celiac Disease - epidemiology
Comorbidity
Female
Humans
Italy - epidemiology
Male
Mass Screening - utilization
Medicine
Medicine & Public Health
Pediatrics
Prevalence
Prospective Studies
Short Communication
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Summary:The main objective of the study was to prospectively assess if the prevalence of celiac disease (CD) in patients with anorexia nervosa (AN) is higher than that reported in the general population to require a regular screening program. The study was conducted at the Neuropsychiatry Unit of “Bambino Gesù” Children’s Hospital in Rome from January 2005 to December 2010. All patients with diagnosis of AN according to the Diagnostic and Statistical Manual of Mental Disorders 4th edition criteria were screened for CD. One hundred and seventy-seven patients (33 males and 144 females) were enrolled. Only one patient was found to be affected with CD as confirmed by intestinal biopsy. The overall prevalence of CD in AN patients was 0.6 % which is similar to that observed in the general population. In conclusion, AN patients do not seem to require a regular screening program for CD. The screening for CD may be useful in selected AN patients in which the symptoms are only partially responding to psychiatric interventions.
ISSN:0340-6199
1432-1076