Frontiers in Celiac Disease
|
|
- Curtis Horn
- 5 years ago
- Views:
Transcription
1 Frontiers in Celiac Disease
2 Pediatric and Adolescent Medicine Vol. 12 Series Editors David Branski Jerusalem Wieland Kiess Leipzig
3 Frontiers in Celiac Disease Volume Editors Alessio Fasano Baltimore, Md. Riccardo Troncone Naples David Branski Jerusalem 52 figures, 19 in color, and 25 tables, 2008 Basel Freiburg Paris London New York Bangalore Bangkok Shanghai Singapore Tokyo Sydney
4 Prof. Alessio Fasano, MD Center for Celiac Research and Mucosal Biology Research Center University of Maryland School of Medicine Baltimore, Md., USA Prof. Riccardo Troncone, MD Department of Pediatrics and European Laboratory for the Investigation of Food-Induced Diseases University Federico II Naples, Italy Prof. David Branski, MD Division of Pediatrics Hadassah University Hospitals Jerusalem, Israel Library of Congress Cataloging-in-Publication Data Frontiers in celiac disease / volume editor, Alessio Fasano, Riccardo Troncone, David Branski. p. ; cm. (Pediatric and adolescent medicine, ISSN ; v. 12) Includes bibliographical references and indexes. ISBN (hard cover: alk. paper) 1. Celiac disease. I. Fasano, Alessio. II. Troncone, R. (Riccardo) III. Branski, D. IV. Series. [DNLM: 1. Celiac disease immunology. 2. Celiac Disease. W1 PE163HL v / WD 175 F ] RC862.C44F ] dc Bibliographic Indices. This publication is listed in bibliographic services, including Current Contents. Disclaimer. The statements, options and data contained in this publication are solely those of the individual authors and contributors and not of the publisher and the editor(s). The appearance of advertisements in the book is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements. Drug Dosage. The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Copyright 2008 by S. Karger AG, P.O. Box, CH 4009 Basel (Switzerland) Printed in Switzerland on acid-free and non-aging paper (ISO 9706) by Reinhardt Druck, Basel ISSN ISBN
5 Contents VII Preface Fasano, A. (Baltimore, Md.); Troncone, R. (Naples); Branski, D. (Jerusalem) 1 Historical Perspective of Celiac Disease Guandalini, S. (Chicago, Ill.) 12 Natural History of Celiac Disease Kaukinen, K.; Collin, P.; Mäki, M. (Tampere) 18 The Changing Clinical Presentation of Celiac Disease Lebenthal, E.; Shteyer, E.; Branski, D. (Jerusalem) 23 The Global Village of Celiac Disease Catassi, C. (Ancona/Baltimore, Md.); Yachha, S.K. (Lucknow) 32 HLA and Non-HLA Genes in Celiac Disease Zhernakova, A. (Utrecht); Wijmenga, C. (Utrecht/Groningen) 46 Twins and Family Contribution to Genetics of Celiac Disease Greco, L. (Naples); Stazi, M.A. (Rome); Clerget-Darpoux, F. (Villejuif ) 57 Biochemistry and Biological Properties of Gliadin Peptides Barone, M.V.; Auricchio, S. (Naples) 66 Innate Immunity and Celiac Disease Meresse, B.; Malamut, G.; Amar, S.; Cerf-Bensussan, N. (Paris) 82 Celiac Disease: Across the Threshold of Tolerance Koning, F. (Leiden) 89 The Role of the Intestinal Barrier Function in the Pathogenesis of Celiac Disease Fasano, A. (Baltimore, Md.); Schulzke, J.D. (Berlin) 99 Diagnosis of Coeliac Disease. Open Questions Auricchio, R.; Troncone, R. (Naples) 107 Current Guidelines for the Diagnosis and Treatment of Celiac Disease Caicedo, R.A.; Hill, I.D. (Winston-Salem, N.C.)
6 114 Current Therapy Stern, M. (Tübingen) 123 Update on the Management of Refractory Coeliac Disease Al-toma, A.; Verbeek, W.H.M.; Mulder, C.J.J. (Amsterdam) 133 The National Institutes of Health Consensus Conference Report Cohen, M.B. (Cincinnati, Ohio); Barnard, J.A. (Columbus, Ohio) 139 Beyond Coeliac Disease Toxicity. Detoxified and Non-Toxic Grains Gilissen, L.J.W.J.; van der Meer, I.M.; Smulders, M.J.M. (Wageningen) 148 Oral Glutenase Therapy for Celiac Sprue Ehren, J.; Khosla, C. (Stanford, Calif.) 157 Inhibitors of Intestinal Barrier Dysfunction Paterson, B.M. (Baltimore, Md.); Turner, J.R. (Chicago, Ill.) 172 Development of a Vaccine for Celiac Disease Anderson, R.P. (Parkville, Vic.) 181 Regulatory T Cells in the Coeliac Intestinal Mucosa. A New Perspective for Treatment? Gianfrani, C.; Camarca, A. (Avellino/Naples); Salvati, V. (Naples); Mazzarella, G. (Avellino/Naples); Roncarolo, M.G. (Milan); Troncone, R. (Naples) 188 Strategies for Prevention of Celiac Disease Hogen Esch, C.E.; Kiefte-de Jong, J.C.; Hopman, E.G.D.; Koning, F. (Leiden); Mearin, M.L. (Leiden/Amsterdam) 198 Towards Preventing Celiac Disease An Epidemiological Approach Ivarsson, A.; Myléus, A.; Wall, S. (Umeå) 210 Animal Models of Celiac Disease Marietta, E.V.; Murray, J.A.; David, C.S. (Rochester, Minn.) 217 Author Index 218 Subject Index VI Contents
7 Preface Celiac disease (CD) is an immune-mediated enteropathy triggered by the ingestion of glutencontaining grains (including wheat, rye and barley) in genetically susceptible individuals. Epidemiological studies conducted during the past decade revealed that CD is one of the most common lifelong disorders worldwide. CD can manifest itself with a previously unappreciated range of clinical presentations, including the typical malabsorption syndrome and a spectrum of symptoms potentially affecting any organ system. Since CD often presents in an atypical or even silent manner, many cases remain undiagnosed and carry the risk of long-term complications, including anemia, osteoporosis, infertility or cancer. The high prevalence of the disease and its variety of clinical outcomes raise several interesting questions. Why is a disease that, if not treated, is associated with a high rate of morbidity and increased mortality yet not segregated by genetic evolution, and why does it remain one of the most frequent genetically based disorders of humankind? One possible explanation is that gluten, a protein introduced in large quantities in the human diet only after the advent of agriculture, activates by mistake of evolution mechanisms of innate and adaptive immunity that are too important for human survival to be eliminated. Another unresolved issue concerns the variable(s) that dictates the length of clinical latency and the type of symptoms experienced by CD patients when the disease becomes clinically apparent. In recent years, there have been noticeable shifts in the age of onset of symptoms and in the clinical presentation of CD, changes that seem to be associated with a delayed introduction of gluten coupled with its reduced amount in the diet. Another controversial topic concerns the complications of untreated CD. Multiple studies that have focused on the biochemistry and toxicity of gluten-containing grains and the immune response to these grains suggest that individuals affected by CD should be treated, irrespective of the presence or absence of symptoms and/or associated conditions. However, well-designed prospective clinical studies to address this point have not been performed, nor can they be conceived, given the ethical implications of such studies. Nevertheless, there is general agreement that the persistence of mucosal injury, with or without typical symptoms, can lead to severe complications in CD patients who do not strictly comply with a gluten-free diet. Another controversial issue is related to screening policies in terms of who should be screened for CD. The prevalence of the disease and the burden of
8 illness related to this condition, particularly if not treated, are so high as to possibly support a policy of general population screening. However, costeffective analyses and return on investment for patients, healthcare providers and policy makers keep the debate open. This book covers most of the aforementioned controversial and yet unresolved topics by capitalizing on the contribution of opinion leaders expert in CD and of its multidisciplinary ramifications. What the reader will surely find stimulating about this book is not only its exhaustive coverage of our current knowledge of CD, but also of provocative new concepts in disease pathogenesis, treatment and prevention that can be extrapolated to other immune-mediated pathologies. Indeed, given the undisputable role of gluten in causing inflammation and immunemediated tissue damage, CD represents a unique model of autoimmunity in which, in contrast to most other autoimmune diseases, a close genetic association with HLA genes (DQ2 and/or DQ8), a highly specific humoral autoimmune response (autoantibodies to tissue transglutaminase) and, most importantly, the triggering environmental factor (gluten) are known. This information provides the rationale for the treatment of the disease based on complete avoidance of gluten-containing grains from the patients diet. Therefore, CD represents the only autoimmune disorder for which a treatment is available, since the trigger(s) involved in the pathogenesis of other autoimmune diseases remain elusive at best. This also implies that CD could represent the best model to study autoimmune pathogenesis and, eventually, to develop novel therapeutic strategies for the treatment of conditions still orphan of any possible solution. We want to take the opportunity to thank all the contributors of this book who took time from their busy schedule to realize this project. This book would not have been possible without the expertise and invaluable contribution and technical support of Mrs. Donna Bethke and of the Karger editorial team. Alessio Fasano, Baltimore, Md. Riccardo Troncone, Naples David Branski, Jerusalem VIII Preface
Primary Care Update January 26 & 27, 2017 Celiac Disease: Concepts & Conundrums
Primary Care Update January 26 & 27, 2017 Celiac Disease: Concepts & Conundrums Alia Hasham, MD Assistant Professor Division of Gastroenterology, Hepatology & Nutrition What is the Preferred Initial Test
More informationEpidemiology. The old Celiac Disease Epidemiology:
Epidemiology 1 1 Epidemiology The old Celiac Disease Epidemiology: A rare disorder typical of infancy Wide incidence fluctuates in space (1/400 Ireland to 1/10000 Denmark) and in time A disease of essentially
More informationDiagnostic Testing Algorithms for Celiac Disease
Diagnostic Testing Algorithms for Celiac Disease HOT TOPIC / 2018 Presenter: Melissa R. Snyder, Ph.D. Co-Director, Antibody Immunology Laboratory Department of Laboratory Medicine and Pathology, Mayo Clinic
More informationBaboons Affected by Hereditary Chronic Diarrhea as a Possible Non-Human Primate Model of Celiac Disease
Baboons Affected by Hereditary Chronic Diarrhea as a Possible Non-Human Primate Model of Celiac Disease Debby Kryszak 1, Henry McGill 2, Michelle Leland 2,, Alessio Fasano 1 1. Center for Celiac Research,
More informationNovember Laboratory Testing for Celiac Disease. Inflammation in Celiac Disease
November 2011 Gary Copland, MD Chair, Department of Pathology, Unity Hospital Laboratory Medical Director, AMC Crossroads Chaska and AMC Crossroads Dean Lakes Laboratory Testing for Celiac Disease Celiac
More informationCeliac Disease: The Future. Alessio Fasano, M.D. Mucosal Biology Research Center University of Maryland School of Medicine
Celiac Disease: The Future Alessio Fasano, M.D. Mucosal Biology Research Center University of Maryland School of Medicine Normal small bowel Celiac disease Gluten Gluten-free diet Treatment Only treatment
More informationGluten Sensitivity Fact from Myth. Disclosures OBJECTIVES 18/09/2013. Justine Turner MD PhD University of Alberta. None Relevant
Gluten Sensitivity Fact from Myth Justine Turner MD PhD University of Alberta Disclosures None Relevant OBJECTIVES Understand the spectrum of gluten disorders Develop a diagnostic algorithm for gluten
More informationTherapeutical implication of regulatory cells and cytokines in celiac disease
Institute of Food Sciences, CNR Avellino, Italy Therapeutical implication of regulatory cells and cytokines in celiac disease Carmen Gianfrani Mastering the coeliac condition: from medicine to social sciences
More informationIs It Celiac Disease or Gluten Sensitivity?
Is It Celiac Disease or Gluten Sensitivity? Mark T. DeMeo MD, FACG Rush University Med Center Case Study 35 y/o female Complains of diarrhea, bloating, arthralgias, and foggy mentation Cousin with celiac
More informationDiseases of the gastrointestinal system Dr H Awad Lecture 5: diseases of the small intestine
Diseases of the gastrointestinal system 2018 Dr H Awad Lecture 5: diseases of the small intestine Small intestinal villi Small intestinal villi -Villi are tall, finger like mucosal projections, found
More informationNew Insights on Gluten Sensitivity
New Insights on Gluten Sensitivity Sheila E. Crowe, MD, FRCPC, FACP, FACG, AGAF Department of Medicine University of California, San Diego Page 1 1 low fat diet low carb diet gluten free diet low fat diet
More informationCeliac Disease: The Quintessential Autoimmune Disease Ivor D. Hill, MB, ChB, MD.
Celiac Disease: The Quintessential Autoimmune Disease Ivor D. Hill, MB, ChB, MD..... Celiac Disease Autoimmune Diseases What are they? How do you get them? Why does it matter? Celiac Disease Autoimmune
More informationFunctional Medicine Is the application of alternative holistic measures to show people how to reverse thyroid conditions, endocrine issues, hormone
Functional Medicine Is the application of alternative holistic measures to show people how to reverse thyroid conditions, endocrine issues, hormone issues, fibromyalgia, autoimmunity diseases and the like.
More informationUniversity of Tampere, Faculty of Medicine and Life Sciences Arvo building, Arvo Ylpön katu 34, Tampere, Finland
TAMPERE CELIAC DISEASE SYMPOSIUM 2018 Serology and Biomarkers September 13-15, 2018 University of Tampere, Faculty of Medicine and Life Sciences Arvo building, Arvo Ylpön katu 34, 33520 Tampere, Finland
More informationSpectrum of Gluten Disorders
Food Intolerance:Celiac Disease and Gluten Sensitivity-A Guide for Healthy Lifestyles Ellen Karlin 2018 Spectrum of Gluten Disorders Wheat allergy - prevalence 3-8 % (up to 3 years old) Non-celiac gluten
More informationActivation of Innate and not Adaptive Immune system in Gluten Sensitivity
Activation of Innate and not Adaptive Immune system in Gluten Sensitivity Update: Differential mucosal IL-17 expression in gluten sensitivity and the autoimmune enteropathy celiac disease A. Sapone, L.
More informationGluten-Free China Gastro Q&A
Gluten-Free China Gastro Q&A Akiko Natalie Tomonari MD akiko.tomonari@parkway.cn Gastroenterology Specialist ParkwayHealth Introduction (of myself) Born in Japan, Raised in Maryland, USA Graduated from
More informationSee Policy CPT CODE section below for any prior authorization requirements
Effective Date: 1/1/2019 Section: LAB Policy No: 404 Medical Policy Committee Approved Date: 12/17; 12/18 1/1/19 Medical Officer Date APPLIES TO: All lines of business See Policy CPT CODE section below
More informationCeliac Disease. Etiology. Food Intolerance:Celiac Disease and Gluten Sensitivity-A Guide for Healthy Lifestyles
Food Intolerance:Celiac Disease and Gluten Sensitivity-A Guide for Healthy Lifestyles Ellen Karlin 2017 Celiac Disease World s most common genetic food disorder Rising prevalence - over past 5 decades,
More informationPeter HR Green MD. Columbia University New York, NY
CELIAC DISEASE, 2008 Peter HR Green MD Celiac Disease Center Columbia University New York, NY pg11@columbia.edu DIAGNOSIS OF CELIAC DISEASE Presence of consistent pathology and response to a gluten-free
More informationCeliac Disease For Dummies By Sheila Crowe, Ian Blumer READ ONLINE
Celiac Disease For Dummies By Sheila Crowe, Ian Blumer READ ONLINE Celiac disease definition, a hereditary digestive disorder involving intolerance to gluten, usually occurring in young children, characterized
More informationAm I a Silly Yak? Laura Zakowski, MD. No financial disclosures
Am I a Silly Yak? Laura Zakowski, MD No financial disclosures Patient NP 21 year old male with chronic headaches for 6 years extensively evaluated and treated Acupuncturist suggests testing for celiac
More informationCeliac Disease: The Past and The Present
Celiac Disease: The Past and The Present The Center for Celiac Research and Mucosal Biology Research Center University of Maryland School of Medicine Baltimore, Maryland, U.S.A. 1 Celiac Disease Roadmap:
More informationSlides and Resources.
Update on Celiac Disease Douglas L. Seidner, MD, AGAF, FACG Director, Center for Human Nutrition Vanderbilt University As revised/retold by Edward Saltzman, MD Tufts University None Disclosures This ppt
More informationHealth Canada s Position on Gluten-Free Claims
June 2012 Bureau of Chemical Safety, Food Directorate, Health Products and Food Branch 0 Table of Contents Background... 2 Regulatory Requirements for Gluten-Free Foods... 2 Recent advances in the knowledge
More informationQuestions and answers on wheat starch (containing gluten) used as an excipient in medicinal products for human use
9 October 2017 EMA/CHMP/704219/2013 Committee for Human Medicinal Products (CHMP) Questions and answers on wheat starch (containing gluten) used as an excipient in medicinal products for human use Draft
More informationDisclosures GLUTEN RELATED DISORDERS CELIAC DISEASE UPDATE OR GLUTEN RELATED DISORDERS 6/9/2015
Disclosures CELIAC DISEASE UPDATE OR GLUTEN RELATED DISORDERS 2015 Scientific Advisory Board: Alvine Pharmaceuticals, Alba Therapeutics, ImmunsanT Peter HR Green MD Columbia University New York, NY GLUTEN
More informationCeliac Disease Ce. Celiac Disease. Barry Z. Hirsch, M.D. Baystate Pediatric Gastroenterology and Nutrition. baystatehealth.org/bch
Celiac Disease Ce Celiac Disease Barry Z. Hirsch, M.D. Baystate Pediatric Gastroenterology and Nutrition baystatehealth.org/bch Autoimmune Disease Inappropriate inflammation 1 1/21/15 Celiac Disease Classic
More informationDiet Isn t Working, We Need to Do Something Else
Diet Isn t Working, We Need to Do Something Else Ciarán P Kelly, MD Celiac Center Beth Israel Deaconess Medical Center & Celiac Program Harvard Medical School Boston Gluten Free Diet (GFD) Very good but
More informationLarazotide Acetate. Alessio Fasano, M.D. Mucosal Biology Research Center and Center for Celiac Research University of Maryland School of Medicine
Larazotide Acetate Alessio Fasano, M.D. Mucosal Biology Research Center and Center for Celiac Research University of Maryland School of Medicine Alternative/Integrative Approaches To The Gluten Free Diet
More informationChallenges in Celiac Disease. Adam Stein, MD Director of Nutrition Support Northwestern University Feinberg School of Medicine
Challenges in Celiac Disease Adam Stein, MD Director of Nutrition Support Northwestern University Feinberg School of Medicine Disclosures None Overview Celiac disease Cases Celiac disease Inappropriate
More informationILSI Workshop on Food Allergy: From Thresholds to Action Levels. The Regulators perspective
ILSI Workshop on Food Allergy: From Thresholds to Action Levels The Regulators perspective 13-14 September 2012 Reading, UK Sue Hattersley UK Food Standards Agency Public health approach Overview Guidance
More informationCELIAC DISEASE - GENERAL AND LABORATORY ASPECTS Prof. Xavier Bossuyt, Ph.D. Laboratory Medicine, Immunology, University Hospital Leuven, Belgium
CELIAC DISEASE - GENERAL AND LABORATORY ASPECTS Prof. Xavier Bossuyt, Ph.D. Laboratory Medicine, Immunology, University Hospital Leuven, Belgium 5.1 Introduction Celiac disease is a chronic immune-mediated
More informationFOOD ALLERGY AND ANAPHYLAXIS PROGRAM
FOOD ALLERGY AND ANAPHYLAXIS PROGRAM Phoebe and Paul (above), both living with nut allergies, are among the many Canadian children that the SickKids Food Allergy and Anaphylaxis Program will benefit. Parents,
More informationDDW WRAP-UP 2012 CELIAC DISEASE. Anju Sidhu MD University of Louisville Gastroenterology, Hepatology and Nutrition June 21, 2012
DDW WRAP-UP 2012 CELIAC DISEASE Anju Sidhu MD University of Louisville Gastroenterology, Hepatology and Nutrition June 21, 2012 OVERVIEW Definition Susceptibility The Changing Clinical Presentation Medical
More informationCeliac Disease 1/13/2016. Objectives. Question 1. Understand the plethora of conditions or symptoms that require testing for Celiac Disease (CD)
Celiac Disease MONTE E. TROUTMAN, DO, FACOI JANUARY 6, 2016 Objectives Understand the plethora of conditions or symptoms that require testing for Celiac Disease (CD) Develop a knowledge of testing needed
More informationMeredythe A. McNally, M.D. Gastroenterology Associates of Cleveland Beachwood, OH
Meredythe A. McNally, M.D. Gastroenterology Associates of Cleveland Beachwood, OH Case in point 42 year old woman with bloating, gas, intermittent diarrhea alternating with constipation, told she has IBS
More informationFRUIT SEEDS. A Pictorial Field Guide. Terry A. Woodger. Universal-Publishers Boca Raton
FRUIT SEEDS A Pictorial Field Guide Terry A. Woodger Universal-Publishers Boca Raton Fruit Seeds: A Pictorial Field Guide Copyright 2011 Terry A. Woodger All rights reserved. No part of this book may be
More informationCeliac Disease. Gluten-Sensitive Enteropathy Celiac Sprue Non-tropical Sprue
Celiac Disease Gluten-Sensitive Enteropathy Celiac Sprue Non-tropical Sprue Copyright 2017 by Sea Courses Inc. All rights reserved. No part of this document may be reproduced, copied, stored, or transmitted
More informationPresentation and Evaluation of Celiac Disease
Presentation and Evaluation of Celiac Disease C. CUFFARI, MD, FRCPC, FACG, AGAF The Johns Hopkins Hospital Baltimore MD. Main Points Celiac disease is not rare (1 in 100-300) It can present in many ways:
More informationGenetics and Epidemiology of Celiac Disease
1 Genetics and Epidemiology of Celiac Disease Alessio Fasano, M.D. Mucosal Bilology Research Center and Center for Celiac Research University of Maryland, School of Medicine Address correspondence to:
More informationEAT ACCORDING TO YOUR GENES. NGx-Gluten TM. Personalized Nutrition Report
EAT ACCORDING TO YOUR GENES NGx-Gluten TM Personalized Nutrition Report Introduction Hello Caroline: Nutrigenomix is pleased to provide you with your NGx-Gluten TM Personalized Nutrition Report based on
More informationFood Allergies: Symptoms, Diagnosis, And Treatment (Natrition And Diet Research Progress) By Patricia M. Rodgers
Food Allergies: Symptoms, Diagnosis, And Treatment (Natrition And Diet Research Progress) By Patricia M. Rodgers If you are searched for a ebook by Patricia M. Rodgers Food Allergies: Symptoms, Diagnosis,
More informationPediatric Food Allergies: Physician and Parent. Robert Anderson MD Rachel Anderson Syracuse, NY March 3, 2018
Pediatric Food Allergies: Physician and Parent Robert Anderson MD Rachel Anderson Syracuse, NY March 3, 2018 Learning Objectives Identify risk factors for food allergies Identify clinical manifestations
More informationGluten-Free Living: Helping People to Eat Safely, Healthfully and Happily
Gluten-Free Living: Helping People to Eat Safely, Healthfully and Happily Rachel Begun, MS, RDN www.rachelbegun.com @RachelBegunRD What is Gluten? What is Gluten? Gluten is the collective term for a group
More informationThe first and only fully-automated, random access, multiplex solution for Celiac IgA and Celiac IgG autoantibody testing.
Bio-Rad Laboratories bioplex 2200 SYSTEM BioPlex 2200 Celiac IgA and IgG Kits * The first and only fully-automated, random access, multiplex solution for Celiac IgA and Celiac IgG autoantibody testing.
More informationCurrent Management of Celiac Disease and Identifying an Appropriate Patient Population(s) for Pharmacologic Therapies in Adult Patients
Current Management of Celiac Disease and Identifying an Appropriate Patient Population(s) for Pharmacologic Therapies in Adult Patients Joe Murray The Mayo Clinic 1 DISCLOSURES Relevant Financial Relationship(s)
More informationCONTEMPORARY CONCEPT ON BASIC APSECTS OF GLUTEN-SENSITIVE ENTEROPATHY IN ELDERLY PATIENTS
VIII, 2014, 1 33. 1,. 2,. - 1,. 1. 3 1,., 2,., 3, CONTEMPORARY CONCEPT ON BASIC APSECTS OF GLUTEN-SENSITIVE ENTEROPATHY IN ELDERLY PATIENTS Ts. Velikova 1, Z. Spassova 2,. Ivanova-Todorova 1, D. Kyurkchiev
More informationCeliac Disease: An Overview and Personal
Celiac Disease: An Overview and Personal Perspective By: Rie-ann Jansen BSN RN CGRN January 20, 2016 Celiac Disease an Overview and Personal Perspective OBJECTIVES: At the conclusion of this presentation,
More informationThe first and only fully-automated, random access, multiplex solution for Celiac IgA and Celiac IgG autoantibody testing.
Bio-Rad Laboratories BIOPLEX 2200 SYSTEM BioPlex 2200 Celiac IgA and IgG Kits The first and only fully-automated, random access, multiplex solution for Celiac IgA and Celiac IgG autoantibody testing. The
More informationDiagnosis Diagnostic principles Confirm diagnosis before treating
Diagnosis 1 1 Diagnosis Diagnostic principles Confirm diagnosis before treating Diagnosis of Celiac Disease mandates a strict gluten-free diet for life following the diet is not easy QOL implications Failure
More informationSeriously, CELIAC. talk.
Seriously, Celiac Disease. talk. If you have celiac disease, your family members might have it too. Talk to them about your experience and how celiac disease runs in families. Tell them the facts. Urge
More informationLiving with Coeliac Disease Information & Support is key
Living with Coeliac Disease Information & Support is key Mary Twohig Chairperson Coeliac Society of Ireland What is Coeliac Disease? LIVING WITH COELIAC DISEASE Fact Not Fad Auto immune disease - the body
More informationNew Gluten World S.r.l. Carmen Lamacchia
EURO GLOBAL SUMMIT AND EXPO ON FOOD AND BEVERAGES AN INNOVATIVE METHOD FOR THE DETOXIFICATION OF GLUTEN PROTEINS FROM GRAINS OF CEREALS New Gluten World S.r.l. Carmen Lamacchia Lead inventor and founder
More informationName of Policy: Human Leukocyte Antigen (HLA) Testing for Celiac Disease
Name of Policy: Human Leukocyte Antigen (HLA) Testing for Celiac Disease Policy #: 545 Latest Review Date: June 2015 Category: Laboratory Policy Grade: B Background/Definitions: As a general rule, benefits
More informationPrimary Prevention of Food Allergies
Primary Prevention of Food Allergies Graham Roberts Professor & Honorary Consultant, Paediatric Allergy and Respiratory Medicine, David Hide Asthma and Allergy Research Centre, Isle of Wight & CES & HDH,
More informationFood Allergies: Fact from Fiction
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/gi-insights/food-allergies-fact-from-fiction/3598/
More informationFood Allergies Among Children -
Food Allergies Among Children - Growth, Treatment, Prevention and a Challenge for the Food Industry Steve L. Taylor, Ph.D. Food Allergy Research & Resource Program University of Nebraska Food Navigator
More informationImuPro shows you the way to the right food for you. And your path for better health.
Your personal ImuPro Screen + documents Sample ID: 33333 Dear, With this letter, you will receive the ImuPro result for your personal IgG food allergy test. This laboratory report contains your results
More informationClinical Immunology and Allergy Fellowship Program Kuwait Institute for Medical Specialization
Issued: June, 2011 Clinical Immunology and Allergy Fellowship Program Kuwait Institute for Medical Specialization I. INTRODUCTION The primary aim of the Allergy and Clinical Immunology Fellowship Program
More informationDR.RAJIV SHARMA BOOK SERIES 2
DR.RAJIV SHARMA BOOK SERIES 2 CELIAC DISEASE AND GLUTEN 1 DR.RAJIV SHARMA CELIAC DISEASE AND GLUTEN GLUTEN IS LIKE AIR. ITS EVERYWHERE. As long as you have a beating heart you cannot avoid Gluten. Gluten
More informationCoeliac disease catering gluten-free
Coeliac disease catering gluten-free About Coeliac UK National Charity for people with coeliac disease and dermatitis herpetiformis Founded in 1968 and is the largest coeliac charity in the world Mission:
More informationEvidence Based Guideline
Evidence Based Guideline Serologic Diagnosis of Celiac Disease File Name: Origination: Last CAP Review: Next CAP Review: Last Review: serologic_diagnosis_of_celiac_disease 4/2012 Description of Procedure
More informationFood Intolerance & Expertise SARAH KEOGH CONSULTANT DIETITIAN EATWELL FOOD & NUTRITION
Food Intolerance & Expertise SARAH KEOGH CONSULTANT DIETITIAN EATWELL FOOD & NUTRITION Food Intolerance & Expertise What is food intolerance? Common food intolerances Why are consumers claiming more food
More informationCeliac & Gluten Sensitivity; serum
TEST NAME: Celiac & Gluten Sensitivity (Serum) Celiac & Gluten Sensitivity; serum ANTIBODIES REFERENCE RESULT/UNIT INTERVAL NEG WEAK POS POSITIVE Tissue Transglutaminase (ttg) IgA 1420 U < 20.0 Tissue
More informationUniversity of Tampere, Faculty of Medicine and Life Sciences Arvo Building, Arvo Ylpön katu 34, Tampere, Finland
TAMPERE CELIAC DISEASE SYMPOSIUM 2018 Serology and Biomarkers September 13-15, 2018 University of Tampere, Faculty of Medicine and Life Sciences Arvo Building, Arvo Ylpön katu 34, 33520 Tampere, Finland
More informationWhen Your Body Fights Itself: Understanding Autoimmune Diseases
When Your Body Fights Itself: Understanding Autoimmune Diseases Thursday, April 28, 2016 Important Reminders Will this information be available at a later date? Yes, always! The webinar recording will
More informationCELIAC DISEASE. Molly Jennings Deb McCafferty MS, RD
CELIAC DISEASE Molly Jennings Deb McCafferty MS, RD WHAT IS CELIAC DISEASE? In short In this disease, exposure to gluten results in damge to the intestinal mucosa. Immune-mediated disorder Also known as
More informationCURRICULUM VITAE. Tricia Thompson, MS, RD. ( ) Boston, Massachusetts M.S. in Nutrition, 1991
CURRICULUM VITAE Tricia Thompson, MS, RD Contact Education (e-mail) tricia_s_thompson@hotmail.com Tufts University Boston, Massachusetts M.S. in Nutrition, 1991 Professional Experience Francis Stern Nutrition
More informationWhat is celiac disease?
What is celiac disease? Celiac disease is a digestive disease that damages the small intestine and interferes with absorption of nutrients from food. People who have celiac disease cannot tolerate gluten,
More informationReaction to the coffee crisis at the beginning of last decade
2000-2010 AND BEYOND: A PATH TO SUSTAINABILITY IN THE COFFEE SECTOR Andrea Illy Guatemala City Feb 28, 2010 Reaction to the coffee crisis at the beginning of last decade In order to resist the possible
More informationprevalence 181 Atopy patch test, see Patch test
Subject Index AD, see Atopic dermatitis Adrenaline, anaphylaxis management 99 101, 194, 195 Adverse food reaction definition 4 nonallergic reactions 6, 9 Allergen Nomenclature database 20, 21 Allergen
More informationUniversity of Groningen. In principio erat Lactococcus lactis Coelho Pinto, Joao Paulo
University of Groningen In principio erat Lactococcus lactis Coelho Pinto, Joao Paulo IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please
More informationHistory of Food Allergies
Grand Valley State University From the SelectedWorks of Jody L Vogelzang PhD, RDN, FAND, CHES Spring 2013 History of Food Allergies Jody L Vogelzang, PhD, RDN, FAND, CHES, Grand Valley State University
More informationWhat is celiac disease? How common is celiac disease? Who gets celiac disease?
FAQ General What is celiac disease? How common is celiac disease? Who gets celiac disease? What are the symptoms of celiac disease? When does celiac disease usually develop? What is the difference between
More informationEsperanza Garcia-Alvarez MD Medical Director Pediatric Celiac Center at Advocate Children s Hospital
Esperanza Garcia-Alvarez MD Medical Director Pediatric Celiac Center at Advocate Children s Hospital Nothing to disclose Objectives Better understanding pathogenesis celiac disease Better understanding
More informationWheat starch (containing gluten) used as an excipient
9 October 2017 EMA/CHMP/639441/2013 Committee for Human Medicinal Products (CHMP) Report published in support of the Questions and answers on wheat starch (containing gluten) used as an excipient in medicinal
More informationOrganic - functional. Opposing views. Simple investigation of GI disorders. The dollar questions. Immune homeostasis of mucosa
Mucosal immunology and immunopathology (IBD, CD & NCGS) Ass. Prof. Knut E. A. Lundin, MD, PhD Endoscopy Unit, Dept of Transplantation medicine Centre for Immune Regulation www.med.uio.no/cir/english Oslo
More informationCeliac Disease. Detlef Schuppan HARVARD MEDICAL SCHOOL
Celiac Disease Detlef Schuppan Falk Symposium in the Intestinal Tract: Pathogenesis and Treatment, Kiev,, Ukraine, May 15-16, 16, 2009 HARVARD MEDICAL SCHOOL Celiac Disease Intolerance to gluten from wheat,
More informationFood Allergy A buffet of truths and myths
Food Allergy A buffet of truths and myths Toronto Anaphylaxis Education Group Adelle R. Atkinson M.D. FRCPC Associate Professor of Paediatrics University of Toronto Clinical Immunologist Division of Immunology
More informationThe Gluten Free Diet and Potential Alternative Therapies: The Road Ahead
The Gluten Free Diet and Potential Alternative Therapies: The Road Ahead Daniel Leffler MD, MS Associate Professor of Medicine Harvard Medical School HARVARD MEDICAL SCHOOL Let Thy Food Be Thy Medicine
More informationCeliac Disease. Sheryl Pfeil, MD The Ohio State University Division of Gastroenterology, Hepatology, and Nutrition. January 2015
Celiac Disease Sheryl Pfeil, MD The Ohio State University Division of Gastroenterology, Hepatology, and Nutrition January 2015 Objectives Review the clinical presentation of celiac disease, including intestinal
More informationCoeliac disease. Do I have coeliac. disease? Diagnosis, monitoring & susceptibilty. Laboratory flowsheet included
Laboratory flowsheet included I have coeliac disease. What monitoring tests should be performed? Do I have coeliac disease? Are either of our children susceptible to coeliac disease? Monitoring tests Diagnostic
More informationTeacher s Manual. Rebecca W. Keller, PhD
Teacher s Manual Rebecca W. Keller, PhD Cover design: David Keller Opening page: David Keller, Rebecca W. Keller, PhD Illustrations: Rebecca W. Keller, PhD Copyright 2013 Gravitas Publications, Inc. All
More informationNo relevant financial relationships to disclose
CELIAC DISEASE Michael H. Piper, MD, FACP, FACG Gastroenterology Program Director Chief of Gastroenterology Providence-Providence Park Hospitals/St. John Macomb Hospital No relevant financial relationships
More informationCambridge International Examinations Cambridge International General Certificate of Secondary Education
Cambridge International Examinations Cambridge International General Certificate of Secondary Education *5342618795* BIOLOGY 0610/63 Paper 6 Alternative to Practical October/November 2017 1 hour Candidates
More informationGluten and the skin: Celiac disease and gluten sensitivity for the dermatologist
2/10/18 Gluten and the skin: Celiac disease and gluten sensitivity for the dermatologist 76th Annual American Academy of Dermatology Meeting February 16th, 2017 Matthew Goldberg, MD Assistant Professor,
More informationluten detection method on surfaces
Introduction Celiac Disease is caused by intolerance to gluten from wheat, barley, rye and some types of oat. This autoimmune disease causes atrophy in the mucosa of the small intestine decreasing the
More informationCELIAC SPRUE. What Happens With Celiac Disease
CELIAC SPRUE Celiac Disease (CD) is a lifelong, digestive disorder affecting children and adults. When people with CD eat foods that contain gluten, it creates an immune-mediated toxic reaction that causes
More informationCitation for published version (APA): Goossens, N. (2014). Health-Related Quality of Life in Food Allergic Patients: Beyond Borders [S.l.]: s.n.
University of Groningen Health-Related Quality of Life in Food Allergic Patients Goossens, Nicole IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite
More informationHOW LONG UNTIL TRULY GLUTEN-FREE?
HOW LONG UNTIL TRULY GLUTEN-FREE? A TIMELINE FOR SELF-MANAGEMENT SKILL ACQUISITION IN ADULTS WITH CELIAC DISEASE Emma M. Clerx National Celiac Association Fall Meeting 10/29/2017 A LITTLE BIT ABOUT ME
More informationFood Safety Action Plan
Food Safety Action Plan REPORT 2010-2011 Targeted Surveys Allergens Gluten in Ground Spices TS-CHEM-10/11 EXECUTIVE SUMMARY... 2 1. INTRODUCTION... 3 1.1. THE FOOD SAFETY ACTION PLAN... 3 1.2. TARGETED
More informationREFERENCE CODE GDHC036POA PUBLICAT ION DATE NOVEMBER 2014 CELIAC DISEASE - OPPORTUNITY ANALYSIS AND FORECAST TO 2023
REFERENCE CODE GDHC036POA PUBLICAT ION DATE NOVEMBER 2014 CELIAC DISEASE - Executive Summary Table below presents the key metrics for celiac disease in the six major pharmaceutical markets (6MM) (US, France,
More informationNICHOL'S FIVE CENTS. Why is Gluten so bad? A monthly e-newsletter dedicated to helping you Go Further, Move Faster & Be Stronger!
1 of 5 11/12/2012 8:20 PM Having trouble viewing this email? Click here NICHOL'S FIVE CENTS A monthly e-newsletter dedicated to helping you Go Further, Move Faster & Be Stronger! IN THIS ISSUE ISSUE: 2
More informationCoeliac disease: pathogenesis. Riccardo Troncone
Coeliac disease: pathogenesis Riccardo Troncone Department of Pediatrics & European Laboratory for the Investigation of Food-Induced Diseases University Federico II, Naples, Italy Definition of Celiac
More informationSPONSORSHIP OPPORTUNITIES
CONFERENCES SPONSORSHIP OPPORTUNITIES 13 th International Conference on Allergy and Clinical Immunology December 13-14, 2018 Abu Dhabi, UAE our DELEGATE is your CLIENT Our Programme 5+ Keynote Sessions
More informationLicensing and gluten free markets in Estonia and other Nordic-Baltic countries. Katre Trofimov 2017
Licensing and gluten free markets in Estonia and other Nordic-Baltic countries Katre Trofimov 2017 Who need gluten free food? Gluten-related disorders Coeliac disease blood markers + biopsy Dermatitis
More informationAllergy Awareness and Management Policy
Allergy Awareness and Management Policy Overview This policy is concerned with a whole school approach to the health care management of those members of our school community suffering from specific allergies.
More informationIdeas for group discussion / exercises - Section 3 Applying food hygiene principles to the coffee chain
Ideas for group discussion / exercises - Section 3 Applying food hygiene principles to the coffee chain Activity 4: National level planning Reviewing national codes of practice and the regulatory framework
More information