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Fracture experience of patients with coeliac disease: a population based survey
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  • Published on:
    Should we screen adults with osteoporotic fractures for coeliac disease?
    • Marc M Budge, Physician
    • Other Contributors:
      • Alexander A Fisher, Michael W Davis

    Dear Editor

    In the recently published debate in Gut regarding the utility of mass screening of European and North American populations for coeliac disease (CD), divergent conclusions were presented.[1,2] In this context, the increased utility of screening adults for CD in those presenting with concomitant morbidity (e.g. metabolic bone disease and fracture) was raised. To support such an hypothesis, evidence of ei...

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    Conflict of Interest:
    None declared.
  • Published on:
    Author's reply to Walters and van Heel

    Dear Editor

    We agree that the risk of fracture in coeliac disease needs to be estimated more precisely and that judicious use of DEXA scanning is appropriate in this group, as it is in the general population. However as Walters et al. and others have clearly shown, bone mineral density does improve following treatment with a gluten free diet, so recommendations to screen all newly diagnosed people with co...

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    Conflict of Interest:
    None declared.
  • Published on:
    Detecting the risks of osteoporotic fractures in coeliac disease
    • Julian RF Walters, Gastroenterology Section, Imperial Colle
    • Other Contributors:
      • DA van Heel, Wellcome Clinician Scientist Fellow, Gastroenterology Section, Imperial College, W12 0NN

    Dear Editor

    The recent report by Thomason et al.[1] which failed to detect a significant increase in fractures experienced by treated coeliacs might reassure many patients and physicians. However this study, and the accompanying commentary by Compston [2] need full and critical assessment before changes in practice are adopted and coeliacs are no longer targeted to be screened for osteoporosis.

    It is n...

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    Conflict of Interest:
    None declared.