TB and coeliac disease

Shetty, Anjali; McKendrick, M.W.

doi:10.1016/j.jinf.2003.08.004

Journal of Infection

2004

DOI: 10.1016/j.jinf.2003.08.004

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TB and coeliac disease

Anjali Shetty

M.W. McKendrick

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Cited by 4 publications

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“…18 An additional complication is that TB patients with CD mediated malabsorption may be at risk of resistance to TB drugs because of insufficient uptake of medicine. 20 In the western world CD affects up to 1% of all individuals (more in high risk groups), 6 while more than 14 000 new cases of TB were reported to the Centre for Disease Control in the US in 2004. 21 Despite this, most research on CD and TB is limited to small series of case studies.…”

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confidence: 99%

Coeliac disease and risk of tuberculosis: a population based cohort study

Ludvigsson

Wahlström

Grünewald

et al. 2007

Thorax

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Background: Coeliac disease (CD) is an autoimmune disease often characterised by malnutrition and linked to a number of complications such as an increased risk of lymphoma, adverse pregnancy outcome, and other autoimmune diseases. Tuberculosis (TB) affects a large proportion of the world population and is more common in individuals with malnutrition. We investigated the risk of TB in 14 335 individuals with CD and 69 888 matched reference individuals in a general population based cohort study. Methods: Cox proportional hazards method was used to calculate the risk of subsequent TB in individuals with CD. In a separate analysis, the risk of CD in individuals with prior TB was calculated using conditional logistic regression. Results: CD was associated with an increased risk of subsequent TB (hazard ratio (HR) 3.74, 95% CI 2.14 to 6.53; p,0.001). Similar risk estimates were seen when the population was stratified for sex and age at CD diagnosis. Individuals with CD were also at increased risk of TB diagnosed in departments of pulmonary medicine, infectious diseases, paediatrics, or thoracic medicine (HR 4.76, 95% CI 2.23 to 10.16; p,0.001). The odds ratio for CD in individuals with prior TB was 2.50 (95% CI 1.75 to 3.55; p,0.001). Conclusions: CD is associated with TB. This may be due to malabsorption and lack of vitamin D in persons with CD. Individuals with TB and gastrointestinal symptoms should be investigated for CD.

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confidence: 99%

Coeliac disease and risk of tuberculosis: a population based cohort study

Ludvigsson

Wahlström

Grünewald

et al. 2007

Thorax

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Systematic review: the evidence base for long‐term management of coeliac disease

Haines

Anderson

Gibson

2008

Aliment Pharmacol Ther

182

144

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Coeliac disease and risk of tuberculosis: a population-based cohort study

Sanders

West

Whyte

2007

Thorax

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TB and coeliac disease

Cited by 4 publications

References 2 publications

Coeliac disease and risk of tuberculosis: a population based cohort study

Coeliac disease and risk of tuberculosis: a population based cohort study

Systematic review: the evidence base for long‐term management of coeliac disease

Coeliac disease and risk of tuberculosis: a population-based cohort study

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