Yıl 2021, Cilt 11 , Sayı 3, Sayfalar 364 - 368 2021-05-24

Our Celiac Disease Experience: Demographic Characteristics, Laboratory Findings and Concomitant Diseases of 94 Patients
Çölyak Hastalığı Deneyimimiz: 94 Hastanın Demografik Özellikleri, Laboratuvar Bulguları ve Eşlik Eden Hastalıklar

Ömer ÖZTÜRK [1] , Mustafa KAPLAN [2] , Ben Azir Begum HYMABACCUS MURADİ [3] , Nurefşan ÇİHANGİROĞLU [4] , İlyas TENLİK [5] , Volkan GÖKBULUT [6] , Derya ARI [7] , Emin ALTIPARMAK [8]


Aim: Celiac Disease (CD) which is an autoimmune disease affecting 1% of the population is associated with other autoimmune diseases and has extraintestinal manifestations. In the present study, we investigated the demographic and laboratory data of 94 patients and diseases related to anemia, osteoporosis and other autoimmune diseases. Material and Method: This study was conducted retrospectively by examining the records of 94 patients who were followed up with the diagnosis of CD between January 2014 and December 2019. Results: Of the patients, 74 were female (79%), 20 were male (21%). The mean age of the patients was 35 (18-73). The average disease duration was 6.6 years (0-29). Anti-endomysium Ig A positivity in 81 patients (86%), tissue transglutaminase Ig A positivity in 87 patients (93%), and tissue transglutaminase IgG positivity in 45 patients (48%) were detected. 14 patients had hypothyroidism (15%) and 8 patients had diabetes mellitus (9%). Osteoporosis or osteopenia was detected in 61 patients as the result of bone mineral densitometry (65%). According to the ferritin results, half of the patients and according to the transferrin saturation result, 47% had iron deficiency. 13 patients had B12 deficiency (14%) and 24 patients had folic acid deficiency (26%). Vitamin D deficiency was found in 74% of the patients. TSH value was found over 4.5 mIU/L in 10 patients. Conclusion: CD is associated with iron, folate, vitamin B12, and vitamin D deficiency and is associated with anemia and osteoporosis, and the disease is often accompanied by autoimmune thyroid diseases and diabetes.
Amaç: Çölyak Hastalığı (ÇH) toplumun yüzde %1’ini etkileyen, diğer otoimmun hastalıklarla birliktelik gösteren ve ekstraintestinal manisfestasyonlara sahip otoimmun bir hastalıktır. Bu çalışmada 94 hastanın demografik ve laboratuvar bulgularını, kansızlık, osteoporoz ve diğer otoimmun hastalıklar ile ilişkisini araştırdık. Gereç ve Yöntem: Bu çalışma Ocak 2014-Aralık 2019 tarihleri arasında ÇH tanısı ile takipli 94 hastanın hasta kayıtları incelenerek retrospektif olarak yapılmıştır. Bulgular: Hastaların 74’ü kadın (%79), 20’si erkekti (%21). Hastaların ortalama yaşı 35 idi (18-73). Ortalama hastalık süresi 6.6 yıldı (0-29). 81 hastada anti-endomisyum Ig A pozitifliği (%86) ,87 hastada doku transglutaminaz Ig A pozitifliği (%93) ve 45 hastada doku transglutaminaz Ig G pozitifliği saptandı (%48). 14 hastada hipotiroidi (%15) ve 8 hastada diabetes mellitus (%9) saptandı. 61 hastada kemik mineral dansitometri sonucunda osteoporoz veya osteopeni saptandı (%65). Ferritin sonuçlarına göre hastaların yarısında, transferrin saturasyonunu sonucuna göre ise %47’sinde demir eksikliği mevcuttu. 13 hastada B12 eksikliği (%14), 24 hastada folik asit eksikliği mevcuttu (%26). Hastaların %74’ünde D vitamin eksikliği saptandı. 10 hastada TSH değeri 4.5 mIU/L’den büyük saptandı. Hipotiroidi oranı %10’larda iken anti-TPO antikor pozitifliği %40, anti-TG pozitifliği ise %38 idi. Sonuç: ÇH demir, folat, vitamin B12 ve vitamin D eksikliği ve bunlara bağlı kansızlık ve osteoporoz ile ilişkili olup hastalığa sıklıkla otoimmun tiroid hastalıkları ve diyabet eşlik etmektedir.
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Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Orjinal Araştırma
Yazarlar

Orcid: 0000-0002-4545-7149
Yazar: Ömer ÖZTÜRK (Sorumlu Yazar)
Ülke: Turkey


Orcid: 0000-0002-6959-675X
Yazar: Mustafa KAPLAN
Kurum: Kayseri Memorial Hospital, Gastroenterology Clinic
Ülke: Turkey


Orcid: 0000-0002-8864-4390
Yazar: Ben Azir Begum HYMABACCUS MURADİ
Kurum: Private Koru Ankara Hospital, Internal Medicine Clinic
Ülke: Turkey


Orcid: 0000-0002-7797-6007
Yazar: Nurefşan ÇİHANGİROĞLU
Kurum: Hacettepe University Faculty of Medicine, Internal Medicine Clinic
Ülke: Turkey


Orcid: 0000-0001-9546-2918
Yazar: İlyas TENLİK
Kurum: Ankara Bilkent City Hospital, Gastroenterology Clinic
Ülke: Turkey


Orcid: 0000-0002-7906-2479
Yazar: Volkan GÖKBULUT
Kurum: Ankara Bilkent City Hospital, Gastroenterology Clinic
Ülke: Turkey


Orcid: 0000-0001-8024-781X
Yazar: Derya ARI
Kurum: Ankara Bilkent City Hospital, Gastroenterology Clinic
Ülke: Turkey


Orcid: 0000-0001-8900-9498
Yazar: Emin ALTIPARMAK
Kurum: Ankara Bilkent City Hospital, Gastroenterology Clinic
Ülke: Turkey


Tarihler

Kabul Tarihi : 20 Mart 2021
Yayımlanma Tarihi : 24 Mayıs 2021

AMA Öztürk Ö , Kaplan M , Hymabaccus Muradi B , Çihangiroğlu N , Tenlik İ , Gökbulut V , Arı D , Altıparmak E . Our Celiac Disease Experience: Demographic Characteristics, Laboratory Findings and Concomitant Diseases of 94 Patients. J Contemp Med. 2021; 11(3): 364-368.