An evaluation of the prevalence of autoimmunological diseases in patients with diabetes and obesity hospitalized in the Department of Diabetology, Rural Medicine Institute
in Lublin

Szczęśniak, Grzegorz; Zdybel, Wojciech; Kozak-Nurczyk, Patrycja; Dziemidok, Piotr

doi:10.5114/fmpcr/63634

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…One other finding in our study was the association of CD with other autoimmune diseases such as diabetes type 1, which highlights the need for screening as well as correction of nutritional requirements for this population [ 30 , 31 ].…”

Section: Discussionmentioning

confidence: 75%

Frequency of overweight/obesity among a group of children with celiac disease in Iran

Shahraki

Hill

2018

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IntroductionA small number of overweight and obese children with celiac disease (CD) has been reported.AimTo estimate the prevalence of obesity, underweight and normal weight in a group of Iranian pediatric patients.Material and methodsIn a retrospective study from 2007 to 2015, 225 children less than 18 years old with biopsy-proven CD were enrolled. Data collected included demographic characteristics, clinical presentation, antibody titers and severity of small-bowel mucosal damage. Body mass index (BMI) profile of subjects was calculated based on the age and gender percentile at presentation.ResultsThe mean ± standard deviation (SD) for age was 7.4 ±3.8 and 62% of patients were female. Fifty-four percent of patients presented with a normal BMI, 43% were underweight, and the remaining patients (3.5%) were overweight/obese. The mean age of underweight and normal weight patients was higher than that of obese/overweight patients. Mean ± SD of TTG titer was higher in overweight/obese and normal weight children compared to underweight subjects. The majority of patients (195/225) had severe enteropathy compatible with Marsh III on duodenal biopsy. Most of the children had gastrointestinal (GI) and extra-intestinal manifestations on presentation. There was no association between severity of histological disease and BMI for age. Five out of eight cases in the obese/overweight group had an index case with CD in their family.ConclusionsThis study highlights the importance of considering celiac disease in children regardless of their BMI. Failure to diagnose CD in children leads to unnecessary diagnostic delays and long-term adverse health consequences.

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Section: Discussionmentioning

confidence: 75%

Frequency of overweight/obesity among a group of children with celiac disease in Iran

Shahraki

Hill

2018

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“…Type 1 diabetes is a very important risk factor that leads to the development of celiac disease in children and young people. The presence of haplotype HLA-DRB1*04.DQ8 predisposing to the incidence of celiac disease was also confirmed in the case of the patient [1][2][3].…”

Section: Discussionmentioning

confidence: 82%

“…Some studies conducted in a group of adult type 1 diabetic patients showed that celiac disease was recognised two times less frequently than in the case of children and teenagers. On the other hand, other studies proved that celiac disease is concomitant with type 1 diabetes to the same extent as in the case of children and teenagers, that is in about 12.3-13.8% of patients [3,26].…”

Section: Discussionmentioning

confidence: 90%

“…In celiac disease, on the other hand, HLA-DR3 and HLA-B8 antigens and HLA-DQA1 and HLA-DQ2 alleles and genotypes are the dominant ones. DR3-DQ2 holotypes appear in 80-90% of celiac patients, and in the case of diabetic patients the risk of the incidence of gluten-sensitive enteropathy increases by as much as 33% [1][2][3]. The analyses that have been conducted so far are not unanimous as far as the number of adults and children diagnosed with diabetes and celiac disease is concerned [4,5].…”

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confidence: 99%

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Nursing care and dietary procedures in the case of a young patient diagnosed with type 1 diabetes and celiac disease – case study

Piskorz¹,

Rogowska²,

Wolfshaut–Wolak³

et al. 2020

ppiel

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Introduction: About 15% of patients diagnosed with type 1 diabetes might also suffer from celiac disease. Celiac disease accompanying type 1 diabetes may lead to the incidence of hypoglycaemia or ketoacidosis and increased risk of complications such as retinopathy and osteoporosis. Aim of the study: An analysis of the case of a patient suffering from type 1 diabetes and celiac disease and the presentation of a nursing care plan. Material and methods: The study describes the case of an 18-year-old female patient who had just been diagnosed with type 1 diabetes and celiac and was hospitalised in September 2017. The information about her medical history and condition was obtained by means of an interview, observation, and analysis of medical records with the application of a survey questionnaire, the Visual Analogue Scale (VAS), and the Acceptance of Illness Scale (AIS). Case description and analysis: The main problems of the patient were connected with celiac symptoms: acute diarrhoea, calf cramps, and overweight caused by dietary mistakes. The patient's deficit of knowledge about dietary procedures had a negative impact on her somatic and mental condition. According to the AIS scale, the patient showed a moderate acceptance towards her illness (a score of 35). Conclusions: Nursing care provided to patients diagnosed with type 1 diabetes and celiac disease should aim at recognising knowledge and skill deficits, education, and emotional support. Patients' failure to follow dietary recommendations, nutritional deficiencies, and incorrect eating habits frequently result not only from an unwillingness to change eating habits but also from low quality of consumed gluten-free products.

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“…such recommendations, e.g. regarding the screening of patients with diabetes towards the development of aitD, are also provided by other authors [16] and scientific societies, such as the Polish society of Diabetology [17].…”

Section: Discussionmentioning

confidence: 99%

Preliminary study of Autoimmune Polyglandular Syndrome (APS). Are they solely an endocrinological problem?

Malicka¹,

Kurowska²,

Kiszczak-Bochyńska³

et al. 2017

fmpcr

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A -study Design, B -Data collection, C -statistical analysis, D -Data interpretation, E -Manuscript Preparation, F -literature search, G -Funds collection Background. autoimmune Polyglandular syndrome (aPs) forms a heterogeneous group of rare, genetically caused diseases, characterized by autoimmune activity against more than one endocrine organ, although non-endocrine organs can be also affected. aPs was classified into four types. the two major types are aPs-1 and aPs-2. Objectives. the aim of this study was to evaluate the type, number and sequence of appearance of autoimmune diseases forming different types of aPs in own material. Material and methods. the study involved 41 patients with aPs (32 F; 9 M), aged 19-72 years (mean 45.2 ± 13.5). the authors analyzed medical histories and the results of additional tests. Results. in the entire group of patients, as well as in each type of aPs, women predominated. the most frequently diagnosed type of aPs, confirmed in 51.2% of patients, was aPs-2. aPs-3 accounted for 41.5% of aPs. the most rarely observed, present in 7.3% of patients, was aPs-1. the most common pathology was autoimmune thyroid disease, followed by addison's disease, and third -type 1 diabetes. the majority of patients (58.5%) were diagnosed with only two coexisting disorders, mainly addison's disease and thyroid disease. in 36.6% of patients, three diseases were recognized, while four autoimmune disorders were discovered in only two women (4.9%). the onsets of consecutive autoimmune diseases in individual patients from study group were spread in time and spanned up to 29 years maximum. Conclusions. if the patient exhibits autoimmune disorders, the suspicion of a further autoimmune disease should be present. a family history of autoimmune disease is also very helpful. a patient with aPs needs life-long replacement therapy and observation by a family doctor, endocrinologist and other specialists to monitor the effectiveness of the treatment and detect new components of the syndrome. Key words: autoimmune polyglandular syndrome, aPs, autoimmune diseases, addison's disease, hashimoto's thyroiditis.

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An evaluation of the prevalence of autoimmunological diseases in patients with diabetes and obesity hospitalized in the Department of Diabetology, Rural Medicine Institute in Lublin

Cited by 4 publications

References 6 publications

Frequency of overweight/obesity among a group of children with celiac disease in Iran

Frequency of overweight/obesity among a group of children with celiac disease in Iran

Nursing care and dietary procedures in the case of a young patient diagnosed with type 1 diabetes and celiac disease – case study

Preliminary study of Autoimmune Polyglandular Syndrome (APS). Are they solely an endocrinological problem?

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