Testing for Celiac Disease in Patients With Symptoms of Irritable Bowel Syndrome

Kittisupamongkol, Weekitt

doi:10.1001/jama.2009.272

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…A meta-analysis of observational studies among MSM suggests circumcision may have little impact upon HIV acquisition, as receptive anal intercourse is the key driver of transmission 37. However, there may be benefit for MSMs who exclusively or almost exclusively practice IAI.…”

Section: Introductionmentioning

confidence: 99%

Current perspectives in HIV post-exposure prophylaxis

Sultan¹,

Benn²,

Waters³

2014

HIV

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The incidence of human immunodeficiency virus (HIV) infection continues to rise among core groups and efforts to reduce the numbers of new infections are being redoubled. Post-exposure prophylaxis (PEP) is the use of short-term antiretroviral therapy (ART) to reduce the risk of acquisition of HIV infection following exposure. Current guidelines recommend a 28-day course of ART within 36–72 hours of exposure to HIV. As long as individuals continue to be exposed to HIV there will be a role for PEP in the foreseeable future. Nonoccupational PEP, the vast majority of which is for sexual exposure (PEPSE), has a significant role to play in HIV prevention efforts. Awareness of PEP and its availability for both clinicians and those who are eligible to receive it are crucial to ensure that PEP is used to its full potential in any HIV prevention strategy. In this review, we provide current evidence for the use of PEPSE, assessment of the risk of HIV transmission, indications for PEP, drug regimens, and management of patients started on PEP. We summarize national and international guidelines for the use of PEPSE. We explore the place of PEP within the wider strategy of reducing HIV incidence rates in the era of treatment as prevention and pre-exposure prophylaxis. We also consider the implications of recent data from interventional and observational studies demonstrating significant reductions in the risk of HIV transmission within a serodiscordant relationship if the HIV-positive partner is taking effective ART upon PEP guidelines.

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Section: Introductionmentioning

confidence: 99%

Current perspectives in HIV post-exposure prophylaxis

Sultan¹,

Benn²,

Waters³

2014

HIV

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“…In a prospective study, Sanders et al, found that compared with matched controls, irritable bowel syndrome was significantly associated with CD (18). This observation has been confirmed in several studies (19)(20)(21)(22). CD is common in patients with IBS (23).…”

Section: Introductionmentioning

confidence: 77%

Coeliac disease in China: a field waiting for exploration

Xia

Blomberg

et al. 2010

Rev. esp. enferm. dig.

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Background: no systematic studies on the prevalence of coeliac disease (CD) have been reported from China. In western populations CD is more common in patients with insulin dependent diabetes mellitus (IDDM) and in diarrhoea-predominant irritable bowel syndrome (D-IBS). We have screened patients with these conditions presenting to the outpatient department of a large hospital of "Traditional Chinese Medicine" (TCM) in Nanjing, Jiangsu province, P.R. China. Methods: we tested sera of 78 unrelated Han Chinese patients (5 IDDM and 73 D-IBS), using ELISA serological tests for IgG anti-gliadin antibodies (IgG-AGA) and IgA anti-tissue transglutaminase antibodies (IgA-tTG). Results: six out of 78 patients (7.7%) were positive for IgG-AGA (two men and four women) and two (2.6%) were positive for IgA-tTGs. One of the latter patients was negative for IgG-AGA. Besides, one patient had a dubious IgA-tTG antibody and a positive IgG-AGA. None of the six patients agreed to undergo duodenal biopsy. Two out of these six patients followed a gluten-free diet for one year. In one patient the diarrhoea ceased and his body weight increased. Another stopped losing weight. Conclusions: this study previously published as a letter in

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“…In studies conducted among men practising both insertive and receptive anal intercourse, circumcision has been seen to have little effect on HIV infection (odds ratio=0.86; 95% CI: 0.65,1.13) (Millett et al, 2008).…”

Section: Male Circumcision and Hiv/stis In Menmentioning

confidence: 99%

Male circumcision, HIV and sexually transmitted infections: a review

Larke

2010

Br J Nurs

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Three randomized controlled trials in sub-Saharan Africa have shown that circumcision reduces the risk of acquiring HIV infection in men by approximately 60%. In this paper, we review the evidence that male circumcision protects against infection with HIV and other sexually transmitted infections (STIs) in men and their female partners. Data from the clinical trials indicate that circumcision may be protective against genital ulcer disease, Herpes simplex type 2, Trichomonas vaginalis and human papillomavirus infection in men. No evidence exists of a protective effect against Chlamydia trachomatis or Neisseria gonorrhea. There is weak evidence that circumcision has a direct protective effect on HIV infection in women, although there is likely to be an indirect benefit, since HIV prevalence is likely to be lower in circumcised male partners. Although there is little evidence from the trials of serious adverse events from the procedure and of behavioural risk compensation among circumcised men, essential operational research is being conducted to evaluate these key issues outside the trial setting as circumcision services are expanded. Following the publication of the clinical trial results in early 2007, the World Health Organization/UNAIDS has advised that promotion of male circumcision should be included as an additional HIV strategy for the prevention of heterosexually acquired HIV infection in men in areas of high HIV prevalence. As circumcision services are expanded in settings where resources are limited, non-physician providers including nurses will play an important role in the provision of services.

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Testing for Celiac Disease in Patients With Symptoms of Irritable Bowel Syndrome

Cited by 4 publications

References 5 publications

Current perspectives in HIV post-exposure prophylaxis

Current perspectives in HIV post-exposure prophylaxis

Coeliac disease in China: a field waiting for exploration

Male circumcision, HIV and sexually transmitted infections: a review

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