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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

关键词

抽象

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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