Celiac disease in African-Americans.

Digestive Diseases and Sciences
Pardeep BrarPeter H R Green

Abstract

Celiac disease is generally under diagnosed in the United States and it is unclear whether the disease is encountered in ethnic minorities. Our purpose is to describe a case series of African-American patients with celiac disease. Nine (1.3%) African-American patients with celiac disease were identified from a prospectively generated database of 700 patients with biopsy proven celiac disease and seen between 1981 and 2004. Females predominated, with seven, compared to two males. Diarrhea was the presentation in only two patients, while three presented with iron deficiency anemia. One third had at least one autoimmune disease. Compliance with a gluten-free diet, the only medical therapy of this disease, was poor. Only four patients adhered strictly to the diet. Celiac disease occurs in African-Americans and may well be underdiagnosed. Special attention needs to be given to methods that encourage adherence to the diet in minority groups.

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Citations

Apr 25, 2012·Seminars in Immunopathology·Norelle Rizkalla Reilly, Peter H R Green
Jun 6, 2007·Digestive Diseases and Sciences·Lincoln HernandezPeter H Green
Jan 12, 2011·Digestive Diseases and Sciences·Rami AbbassTimothy O Lipman
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Apr 16, 2015·Digestive Diseases and Sciences·Benjamin Lebwohl
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May 6, 2015·PloS One·Rafael Parra-MedinaJuan-Manuel Anaya
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Jun 18, 2017·The American Journal of Medicine·Marco A PaezMukund Venu
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