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• W2442171695 abstract "Background and Aims: It remains unclear as to what are the clinical characteristics associated with the presence of anemia at celiac disease diagnosis, and how these are affected by a gluten-free diet. We investigated these issues in a prospective study. Methods: Clinical and demographic data, small-bowel mucosal histology, serology, and laboratory parameters, body mass index (BMI), and bone mineral density (BMD) both at diagnosis and after 1 year on a gluten-free diet were investigated in 163 adults with celiac disease. Gastrointestinal symptoms and psychological well-being were evaluated by validated Gastrointestinal Symptom Rating Scale and Psychological General Well-Being questionnaires. All study variables were compared between participants with and without anemia at celiac disease diagnosis. Results: Altogether, 23% of the patients had anemia at diagnosis. Anemic patients were more often women ( P =0.001) and had more gastrointestinal symptoms ( P =0.004) and were less often screen detected ( P =0.009). Further, they had higher celiac antibody values ( P =0.007) and a lower total iron ( P <0.001), BMI ( P =0.003), and density of mucosal γδ+ intraepithelial lymphocytes ( P =0.033). After 1 year on a gluten-free diet, the anemia group had a lower mucosal villous height-crypt depth ratio ( P =0.008) and BMI ( P =0.050), and higher antibody values ( P =0.012) and densities of CD3 + ( P =0.008) and αβ+ intraepithelial lymphocytes ( P =0.022). There was no significant difference between the groups in their bone mineral density, Gastrointestinal Symptom Rating Scale and Psychological General Well-Being. Conclusions: Celiac patients with anemia had more severe disease than nonanemic patients in terms of the serology and a lower BMI. Further, they evinced a slower histologic response to the dietary treatment. An early diagnosis and careful follow-up are important in these patients." @default.
• W2442171695 created "2016-06-24" @default.
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• W2442171695 date "2017-05-01" @default.
• W2442171695 modified "2023-09-30" @default.
• W2442171695 title "Clinical Characteristics and the Dietary Response in Celiac Disease Patients Presenting With or Without Anemia" @default.
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• W2442171695 doi "https://doi.org/10.1097/mcg.0000000000000556" @default.
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