Rapid anti-transglutaminase assay and patient interview for monitoring dietary compliance in celiac disease

Scand J Gastroenterol. 2013 Jun;48(6):764-6. doi: 10.3109/00365521.2013.786129. Epub 2013 Apr 5.

Abstract

Objective: The anti-transglutaminase antibodies (anti-tTG) play an important role in monitoring the celiacs' gluten-free diet (GFD).

Material and methods: The authors propose to use the rapid IgA anti-tTG assay based on a whole blood drop to evaluate the compliance to GFD at the clinical ambulatory setting. The rapid test results were compared with those of the conventional ELISA assay and with dietary compliance reported by patients' interview.

Conclusions: The authors showed that anti-tTG rapid test is reliable and easy to perform in the ambulatory setting to evaluate dietary compliance. Moreover, they proved that celiacs' interview is more sensitive than serology in identifying patients who transgress.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Celiac Disease / diet therapy*
  • Celiac Disease / immunology*
  • Child
  • Diet, Gluten-Free
  • False Negative Reactions
  • False Positive Reactions
  • Female
  • GTP-Binding Proteins
  • Humans
  • Immunoglobulin A / blood*
  • Interviews as Topic
  • Male
  • Middle Aged
  • Patient Compliance*
  • Protein Glutamine gamma Glutamyltransferase 2
  • Sensitivity and Specificity
  • Time Factors
  • Transglutaminases / immunology*
  • Young Adult

Substances

  • Immunoglobulin A
  • Protein Glutamine gamma Glutamyltransferase 2
  • Transglutaminases
  • GTP-Binding Proteins