2014
DOI: 10.1016/s1873-9946(14)50033-5
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P-023: Impact of socio-economic position on incidence of inflammatory bowel disease in children

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“…European guidelines on screening for celiac disease in children (not specific to children with type 1 diabetes) suggest that biopsy may not be necessary in symptomatic children with high antibody titers (i.e., greater than 10 times the upper limit of normal) provided that further testing is performed (verification of endomysial antibody positivity on a separate blood sample). Whether this approach may be appropriate for asymptomatic children in high-risk groups remains an open question, though evidence is emerging (134). It is also advisable to check for celiac disease-associated HLA types in patients who are diagnosed without a small intestinal biopsy.…”
Section: School and Child Carementioning
confidence: 99%
“…European guidelines on screening for celiac disease in children (not specific to children with type 1 diabetes) suggest that biopsy may not be necessary in symptomatic children with high antibody titers (i.e., greater than 10 times the upper limit of normal) provided that further testing is performed (verification of endomysial antibody positivity on a separate blood sample). Whether this approach may be appropriate for asymptomatic children in high-risk groups remains an open question, though evidence is emerging (134). It is also advisable to check for celiac disease-associated HLA types in patients who are diagnosed without a small intestinal biopsy.…”
Section: School and Child Carementioning
confidence: 99%