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Clinical Gastroenterology and Hepatology 2006-May

Hereditary fructose intolerance and celiac disease: a novel genetic association.

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Carolina Ciacci
Daniela Gennarelli
Gabriella Esposito
Raffaella Tortora
Francesco Salvatore
Lucia Sacchetti

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Abstrak

OBJECTIVE

Celiac disease (CD) has been associated with several genetic disorders, but has not been associated with hereditary fructose intolerance (HFI).

METHODS

We identified CD in 4 female patients affected by HFI from among 38 Italian HFI patients.

RESULTS

Three of these patients were children in whom the CD-associated signs were hypertransaminasemia, failure to thrive, low weight, and short stature, whereas the adult patient had protracted diarrhea notwithstanding a fructose-free diet. The incidence of CD in our group of HFI patients was higher (>10%) than in the general population (1%-3%) (P<.02).

CONCLUSIONS

The possibility of an association between these 2 gastrointestinal disorders is important, particularly in the management of HFI patients with persisting symptoms.

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