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The father figure in coeliac disease
  1. L GRECO
  1. University of Naples ‘Federico II’, Italy

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The previous story

It is surprising that although clear reports were given in the pilot work of Ferguson and colleagues,1 Farthing and colleagues,2 and others about 20 years ago, coeliac disease (CD) has not yet gained popularity among obstetricians. In the subsequent two decades, many epidemiological studies clearly showed that it is a very common disease, that it affects women more than men, and that it has to be considered in relation to reproductive function.

The actual story

In the past few years several groups have shown that untreated CD is an important cause of abortion, poor outcome of pregnancy, and intrauterine growth retardation.3 ,4 Most authors agree that malnutrition could not have explained the reproductive difficulties of many, now most, coeliac women. Martinelli and colleagues5 recently found that 1 in every 70 pregnant women admitted to a major city …

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