Spectrum of gluten-related disorders: consensus on new nomenclature and classification
A decade ago celiac disease was considered extremely rare outside Europe and, therefore, was almost completely ignored by health care professionals. In only 10 years, key milestones have moved celiac disease from obscurity into the popular spotlight worldwide. Now we are observing another interestin...
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| Vydáno v: | BMC medicine Ročník 10; číslo 1; s. 13 |
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| Hlavní autoři: | , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
London
BioMed Central
07.02.2012
BioMed Central Ltd Springer Nature B.V BMC |
| Témata: | |
| ISSN: | 1741-7015, 1741-7015 |
| On-line přístup: | Získat plný text |
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| Abstract | A decade ago celiac disease was considered extremely rare outside Europe and, therefore, was almost completely ignored by health care professionals. In only 10 years, key milestones have moved celiac disease from obscurity into the popular spotlight worldwide. Now we are observing another interesting phenomenon that is generating great confusion among health care professionals. The number of individuals embracing a gluten-free diet (GFD) appears much higher than the projected number of celiac disease patients, fueling a global market of gluten-free products approaching $2.5 billion (US) in global sales in 2010. This trend is supported by the notion that, along with celiac disease, other conditions related to the ingestion of gluten have emerged as health care concerns. This review will summarize our current knowledge about the three main forms of gluten reactions: allergic (wheat allergy), autoimmune (celiac disease, dermatitis herpetiformis and gluten ataxia) and possibly immune-mediated (gluten sensitivity), and also outline pathogenic, clinical and epidemiological differences and propose new nomenclature and classifications. |
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| AbstractList | A decade ago celiac disease was considered extremely rare outside Europe and, therefore, was almost completely ignored by health care professionals. In only 10 years, key milestones have moved celiac disease from obscurity into the popular spotlight worldwide. Now we are observing another interesting phenomenon that is generating great confusion among health care professionals. The number of individuals embracing a gluten-free diet (GFD) appears much higher than the projected number of celiac disease patients, fueling a global market of gluten-free products approaching $2.5 billion (US) in global sales in 2010. This trend is supported by the notion that, along with celiac disease, other conditions related to the ingestion of gluten have emerged as health care concerns. This review will summarize our current knowledge about the three main forms of gluten reactions: allergic (wheat allergy), autoimmune (celiac disease, dermatitis herpetiformis and gluten ataxia) and possibly immune-mediated (gluten sensitivity), and also outline pathogenic, clinical and epidemiological differences and propose new nomenclature and classifications.A decade ago celiac disease was considered extremely rare outside Europe and, therefore, was almost completely ignored by health care professionals. In only 10 years, key milestones have moved celiac disease from obscurity into the popular spotlight worldwide. Now we are observing another interesting phenomenon that is generating great confusion among health care professionals. The number of individuals embracing a gluten-free diet (GFD) appears much higher than the projected number of celiac disease patients, fueling a global market of gluten-free products approaching $2.5 billion (US) in global sales in 2010. This trend is supported by the notion that, along with celiac disease, other conditions related to the ingestion of gluten have emerged as health care concerns. This review will summarize our current knowledge about the three main forms of gluten reactions: allergic (wheat allergy), autoimmune (celiac disease, dermatitis herpetiformis and gluten ataxia) and possibly immune-mediated (gluten sensitivity), and also outline pathogenic, clinical and epidemiological differences and propose new nomenclature and classifications. A decade ago celiac disease was considered extremely rare outside Europe and, therefore, was almost completely ignored by health care professionals. In only 10 years, key milestones have moved celiac disease from obscurity into the popular spotlight worldwide. Now we are observing another interesting phenomenon that is generating great confusion among health care professionals. The number of individuals embracing a gluten-free diet (GFD) appears much higher than the projected number of celiac disease patients, fueling a global market of gluten-free products approaching $2.5 billion (US) in global sales in 2010. This trend is supported by the notion that, along with celiac disease, other conditions related to the ingestion of gluten have emerged as health care concerns. This review will summarize our current knowledge about the three main forms of gluten reactions: allergic (wheat allergy), autoimmune (celiac disease, dermatitis herpetiformis and gluten ataxia) and possibly immune-mediated (gluten sensitivity), and also outline pathogenic, clinical and epidemiological differences and propose new nomenclature and classifications. Abstract A decade ago celiac disease was considered extremely rare outside Europe and, therefore, was almost completely ignored by health care professionals. In only 10 years, key milestones have moved celiac disease from obscurity into the popular spotlight worldwide. Now we are observing another interesting phenomenon that is generating great confusion among health care professionals. The number of individuals embracing a gluten-free diet (GFD) appears much higher than the projected number of celiac disease patients, fueling a global market of gluten-free products approaching $2.5 billion (US) in global sales in 2010. This trend is supported by the notion that, along with celiac disease, other conditions related to the ingestion of gluten have emerged as health care concerns. This review will summarize our current knowledge about the three main forms of gluten reactions: allergic (wheat allergy), autoimmune (celiac disease, dermatitis herpetiformis and gluten ataxia) and possibly immune-mediated (gluten sensitivity), and also outline pathogenic, clinical and epidemiological differences and propose new nomenclature and classifications. |
| ArticleNumber | 13 |
| Audience | Academic |
| Author | Schumann, Michael Sapone, Anna Sanders, David S Kaukinen, Katri Hadjivassiliou, Marios Ullrich, Reiner Green, Peter HR Rostami, Kamran Volta, Umberto Villalta, Danilo Ciacci, Carolina Fasano, Alessio Bai, Julio C Dolinsek, Jernej Catassi, Carlo |
| AuthorAffiliation | 9 Dudley Group of Hospitals, University of Birmingham Medical School, Birmingham, UK 1 Mucosal Biology Research Center and Center for Celiac Research, University of Maryland School of Medicine, Baltimore, MD 21201, USA 14 Department of Pediatrics, Università Politecnica delle Marche, Ancona, Italy 12 Allergy and Clinical Immunology Unit, DML, AO Santa Maria degli Angeli, Pordenone, Italy 11 Department of Gastroenterology, Rheumatology and Infectivology, Charité University Medicine, Berlin, Germany 5 University Medical Centre Maribor, Ljubljansk, Slovenia 7 Department of Neurology, Royal Hallamshire Hospital, Sheffield, UK 2 Department of Internal and Experimental Medicine Magrassi-Lanzara, Second University of Naples, Naples, Italy 3 Department of Medicine, Dr Carlos Bonorino Udaondo Gastroenterology Hospital, Buenos Aires, Argentina 4 Gastroenterology Unit, University of Salerno School of Medicine, Salerno, Italy 6 Celiac Disease Center, Columbia University, New York, NY 10032, USA 8 Department |
| AuthorAffiliation_xml | – name: 2 Department of Internal and Experimental Medicine Magrassi-Lanzara, Second University of Naples, Naples, Italy – name: 5 University Medical Centre Maribor, Ljubljansk, Slovenia – name: 12 Allergy and Clinical Immunology Unit, DML, AO Santa Maria degli Angeli, Pordenone, Italy – name: 8 Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital and School of Medicine, University of Tampere, Finland – name: 13 Department of Digestive Diseases and Internal Medicine, St Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy – name: 7 Department of Neurology, Royal Hallamshire Hospital, Sheffield, UK – name: 1 Mucosal Biology Research Center and Center for Celiac Research, University of Maryland School of Medicine, Baltimore, MD 21201, USA – name: 4 Gastroenterology Unit, University of Salerno School of Medicine, Salerno, Italy – name: 14 Department of Pediatrics, Università Politecnica delle Marche, Ancona, Italy – name: 6 Celiac Disease Center, Columbia University, New York, NY 10032, USA – name: 9 Dudley Group of Hospitals, University of Birmingham Medical School, Birmingham, UK – name: 10 Department of Gastroenterology and Hepatology, Royal Hallamshire Hospital and University of Sheffield Medical School, Sheffield, UK – name: 11 Department of Gastroenterology, Rheumatology and Infectivology, Charité University Medicine, Berlin, Germany – name: 3 Department of Medicine, Dr Carlos Bonorino Udaondo Gastroenterology Hospital, Buenos Aires, Argentina |
| Author_xml | – sequence: 1 givenname: Anna surname: Sapone fullname: Sapone, Anna organization: Mucosal Biology Research Center and Center for Celiac Research, University of Maryland School of Medicine, Department of Internal and Experimental Medicine Magrassi-Lanzara, Second University of Naples – sequence: 2 givenname: Julio C surname: Bai fullname: Bai, Julio C organization: Department of Medicine, Dr Carlos Bonorino Udaondo Gastroenterology Hospital – sequence: 3 givenname: Carolina surname: Ciacci fullname: Ciacci, Carolina organization: Gastroenterology Unit, University of Salerno School of Medicine – sequence: 4 givenname: Jernej surname: Dolinsek fullname: Dolinsek, Jernej organization: University Medical Centre Maribor – sequence: 5 givenname: Peter HR surname: Green fullname: Green, Peter HR organization: Celiac Disease Center, Columbia University – sequence: 6 givenname: Marios surname: Hadjivassiliou fullname: Hadjivassiliou, Marios organization: Department of Neurology, Royal Hallamshire Hospital – sequence: 7 givenname: Katri surname: Kaukinen fullname: Kaukinen, Katri organization: Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital and School of Medicine, University of Tampere – sequence: 8 givenname: Kamran surname: Rostami fullname: Rostami, Kamran organization: Dudley Group of Hospitals, University of Birmingham Medical School – sequence: 9 givenname: David S surname: Sanders fullname: Sanders, David S organization: Department of Gastroenterology and Hepatology, Royal Hallamshire Hospital and University of Sheffield Medical School – sequence: 10 givenname: Michael surname: Schumann fullname: Schumann, Michael organization: Department of Gastroenterology, Rheumatology and Infectivology, Charité University Medicine – sequence: 11 givenname: Reiner surname: Ullrich fullname: Ullrich, Reiner organization: Department of Gastroenterology, Rheumatology and Infectivology, Charité University Medicine – sequence: 12 givenname: Danilo surname: Villalta fullname: Villalta, Danilo organization: Allergy and Clinical Immunology Unit, DML, AO Santa Maria degli Angeli – sequence: 13 givenname: Umberto surname: Volta fullname: Volta, Umberto organization: Department of Digestive Diseases and Internal Medicine, St Orsola-Malpighi Hospital, University of Bologna – sequence: 14 givenname: Carlo surname: Catassi fullname: Catassi, Carlo organization: Mucosal Biology Research Center and Center for Celiac Research, University of Maryland School of Medicine, Department of Pediatrics, Università Politecnica delle Marche – sequence: 15 givenname: Alessio surname: Fasano fullname: Fasano, Alessio email: afasano@mbrc.umaryland.edu organization: Mucosal Biology Research Center and Center for Celiac Research, University of Maryland School of Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22313950$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Allergies Amino Acid Sequence Autoimmune Diseases - classification Autoimmune Diseases - diet therapy Autoimmune Diseases - epidemiology Biomedicine Celiac disease Celiac Disease - classification Celiac Disease - diet therapy Celiac Disease - epidemiology Diet Diet therapy Diet, Gluten-Free Gluten-free diet Glutens - adverse effects Glutens - chemistry Health aspects Humans Hypersensitivity, Delayed - classification Hypersensitivity, Delayed - diet therapy Hypersensitivity, Delayed - epidemiology Intestinal Diseases - classification Intestinal Diseases - diet therapy Intestinal Diseases - epidemiology Medicine Medicine & Public Health Molecular Sequence Data Opinion Prevalence Proteins Wheat Hypersensitivity - classification Wheat Hypersensitivity - diet therapy Wheat Hypersensitivity - epidemiology |
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