Reliability of coeliac serology in monitoring dietary adherence in children with coeliac disease on a gluten-free diet. (July 2019)

• Record Type: Journal Article
• Authors: Jain, Reena; Kumar, Praveen; Kapoor, Seema; Basu, Srikanta; Lomash, Avinash; Rohatgi, Shivani
• Is Part Of: Tropical doctor. Volume 49:Number 3(2019)
• Page Start: 192
• Page End: 196
• Publication Date: 2019-07
• Subjects: Anti-tTg IgA -- anti-DGP IgG -- non-adherence; Tropical medicine -- Periodicals; Medical care -- Developing countries -- Periodicals; Developing Countries -- Periodicals; Tropical Medicine -- Periodicals; Tropische geneeskunde; 616.9883
• DOI: 10.1177/0049475519835732
• Languages: English
• ISSNs: 0049-4755

Abstract

This study aimed to determine the utility of coeliac serology for monitoring dietary adherence in coeliac disease. Serum anti-tTg IgA and anti-DGP IgG levels of 42 newly diagnosed patients were measured at diagnosis and at intervals of three, six and 12 months after starting a gluten-free diet. Both anti-tTg and anti-DGP antibodies decreased in all patients. The decline in the former was significantly greater at 3–12 months throughout, while in the latter the decline was seen only at three months but not subsequently. Serial measurement of coeliac serology may help in monitoring adherence to a gluten-free diet.