Abstract
We describe our personal experience with the routine histopathologic diagnosis of coeliac disease in pediatric and adult ages, over a period of 3 years. The most important indications based on the examination of over 300 cases include: (a) the importance of a correct orientation of biopsies on Millipore filters; (b) the not regular sending of clinical and laboratory results; (c) the better correspondence of modified Marsh classification by Oberhuber to the histologic characteristics of the disease before and after dieting; and (d) the increasing incidence of coeliac disease in adult age, even though in this case series the age-class most affected was that under 11 years (75 cases, 25%).
MeSH terms
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Adolescent
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Adult
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Age of Onset
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Aged
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Aged, 80 and over
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Atrophy
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Biomarkers
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Biopsy
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Celiac Disease / diagnosis*
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Celiac Disease / diet therapy
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Celiac Disease / epidemiology
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Celiac Disease / immunology
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Celiac Disease / metabolism
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Celiac Disease / pathology
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Child
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Child, Preschool
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Esophagus / pathology
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Female
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Gastric Mucosa / pathology
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Gliadin / immunology
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HLA Antigens / analysis
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Humans
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Hyperplasia
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Immunoglobulin A / analysis
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Immunoglobulin A / immunology
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Immunoglobulin G / analysis
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Immunoglobulin G / immunology
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Infant
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Inflammation
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Intestinal Mucosa / pathology
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Male
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Middle Aged
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Retrospective Studies
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Transglutaminases / immunology
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Treatment Outcome
Substances
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Biomarkers
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HLA Antigens
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Immunoglobulin A
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Immunoglobulin G
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Gliadin
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Transglutaminases