CERTIFICATE

IMPACT FACTOR 2021

Subject Area

  • Life Sciences / Biology
  • Architecture / Building Management
  • Asian Studies
  • Business & Management
  • Chemistry
  • Computer Science
  • Economics & Finance
  • Engineering / Acoustics
  • Environmental Science
  • Agricultural Sciences
  • Pharmaceutical Sciences
  • General Sciences
  • Materials Science
  • Mathematics
  • Medicine
  • Nanotechnology & Nanoscience
  • Nonlinear Science
  • Chaos & Dynamical Systems
  • Physics
  • Social Sciences & Humanities

Why Us? >>

  • Open Access
  • Peer Reviewed
  • Rapid Publication
  • Life time hosting
  • Free promotion service
  • Free indexing service
  • More citations
  • Search engine friendly

A study of clinical, serological and histopathological profile in celiac disease

Author: 
Dr. Pansi Gupta, Dr. Sonia Chhabra, Dr. Sunita Singh, Dr Parveen Malhotra and Dr. Rajeev Sen
Subject Area: 
Health Sciences
Abstract: 

Background: Celiac disease (CD), is a chronic immune-mediated disorder of small intestine that occurs in genetically predisposed populations. It is characterized by permanent intolerance to wheat gliadins and other cereal prolamins. The epidemiology of CD has iceberg characteristics¬ with more undiagnosed cases. The pathogenesis entails a T cell‐mediated immune response with production of autoantibodies directed against tissue transglutaminase or endomysium. The diagnosis of CD is currently based on both typical small bowel biopsy findings with clinical and serological parameters. Aims: This study conducted with aims to classify the endoscopic duodenal biopsies using modified Marsh grading in cases of suspected celiac disease and compare these grades with various clinical and serological parameters including serum tTG levels. Setting and Design: Biopsies from second part of duodenum in total of 100 consecutive cases of suspected CD (on the basis of clinical and serological profile) formed the study group. Marsh grades were compared with anti-tTG levels, hemoglobin, endoscopy, and clinical presentations. Materials and Methods: Histopathological diagnosis was established on routine haematoxylin and eosin stained sections. The histopathological grading was performed as per modified Marsh grading. Representative section was also subjected for immunohistochemical staining with antihuman CD3 antibody for evaluating intraepithelial lymphocytes. Comparison of these grades with the serological (anti tTg levels) and other clinical parameters (symptoms, weight, endoscopy and hemoglobin levels) were done. Statistical Analysis: These data were subsequently analysed using SPSS 20.0 software. Chi square test and other relevant statistics were used to assess the relationship between two variables. P-value less than 0.05 was accepted as statistically significant. Results and Conclusions: Majority of patients presented with typical gastrointestinal symptoms and significantly correlated with higher Marsh grades (p= 0.0326) but atypical symptoms can be the primary presentation of the disease. Patients with higher serum anti-tTG levels, have a high-degree probability of duodenal damage. Anti-tTG levels have conclusively been proven to correlate with increasing histological grades (p=0.005). So, in selected conditions with strong clinical suspicion and high titres of anti tTG, a duodenal biopsy may be avoided especially in children and it could be the basis to prescribe a GFD.

PDF file: 

CALL FOR PAPERS

 

ONLINE PAYPAL PAYMENT

IJMCE RECOMMENDATION

Advantages of IJCR

  • Rapid Publishing
  • Professional publishing practices
  • Indexing in leading database
  • High level of citation
  • High Qualitiy reader base
  • High level author suport

Plagiarism Detection

IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies.

 

EDITORIAL BOARD

CHUDE NKIRU PATRICIA
Nigeria
Dr. Swamy KRM
India
Dr. Abdul Hannan A.M.S
Saudi Arabia.
Luai Farhan Zghair
Iraq
Hasan Ali Abed Al-Zu’bi
Jordanian
Fredrick OJIJA
Tanzanian
Firuza M. Tursunkhodjaeva
Uzbekistan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Elsadig Gasoom FadelAlla Elbashir
Sudan
Eapen, Asha Sarah
United State
Dr.Arun Kumar A
India
Dr. Zafar Iqbal
Pakistan
Dr. SHAHERA S.PATEL
India
Dr. Ruchika Khanna
India
Dr. Recep TAS
Turkey
Dr. Rasha Ali Eldeeb
Egypt
Dr. Pralhad Kanhaiyalal Rahangdale
India
DR. PATRICK D. CERNA
Philippines
Dr. Nicolas Padilla- Raygoza
Mexico
Dr. Mustafa Y. G. Younis
Libiya
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
DR. MUHAMMAD ISMAIL MOHMAND
United State
DR. MAHESH SHIVAJI CHAVAN
India
DR. M. ARUNA
India
Dr. Lim Gee Nee
Malaysia
Dr. Jatinder Pal Singh Chawla
India
DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
Dr. Devendra kumar Gupta
India
Dr. ASHWANI KUMAR DUBEY
India
Dr. Ali Seidi
Iran
Dr. Achmad Choerudin
Indonesia
Dr Ashok Kumar Verma
India
Thi Mong Diep NGUYEN
France
Dr. Muhammad Akram
Pakistan
Dr. Imran Azad
Oman
Dr. Meenakshi Malik
India
Aseel Hadi Hamzah
Iraq
Anam Bhatti
Malaysia
Md. Amir Hossain
Bangladesh
Ahmet İPEKÇİ
Turkey
Mirzadi Gohari
Iran