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  1. Rafeeq Muhammed
  1. Department of Paediatric Gastroenterology, Birmingham Children’s Hospital, Birmingham, UK
  1. Correspondence to Dr Rafeeq Muhammed; rafeeq.muhammed{at}nhs.net

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Risk of developing coeliac disease is low for children with potential coeliac disease

The CELIPREV (Celiac Disease Risk Prevalence and natural history of potential celiac disease in at family-risk infants prospectively investigated from birth) study1 prospectively followed up 553 children in Italy from birth with coeliac disease (CD)–predisposing human leucocyte antigen (HLA) genes. Children with a diagnosis of potential CD continued to receive a normal diet and repeated the serological screening for CD every year. Potential CD was defined in the presence of (1) a CD-compatible HLA genotype, (2) a Marsh 0–1 lesion at the biopsy, and (3) IgA tissue transglutaminase antibody and endomysial antibody positivity or IgG tissue transglutaminase antibody positivity in presence of IgA deficiency. A small-intestinal biopsy was taken in presence of persistent positive serology. Overall, 26 (4.7%) children received a diagnosis of potential CD (50% females, median age 24 months). All children were symptom-free. Twenty-three …

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