乳糜泻:罕见还是常见?

Celiac Disease: Rare or Prevalent?

  • 摘要: 乳糜泻(celiac disease,CeD)是一种由遗传易感性和环境因素共同作用引起的自身免疫性小肠疾病,主要影响携带HLA-DQ2/DQ8基因的人群。尽管CeD曾被认为是一种罕见病,但其全球发病率逐年上升,已逐渐成为公共卫生问题。中国部分地区已开展CeD的流行病学调查,初步结果显示CeD的发病率并不低。然而,诊断延误仍然普遍存在,未得到及时治疗的患者可能面临营养不良、并发其他自身免疫性疾病,甚至癌症等长期并发症。本文概述CeD的流行病学情况,分析其常见症状及高风险人群,并总结早期筛查和诊断流程,以期为CeD的临床诊断和治疗提供参考。

     

    Abstract: Celiac disease (CeD) is an autoimmune small intestinal disorder caused by the interplay of genetic susceptibility and environmental factors, primarily affects individuals carrying HLA-DQ2/DQ8 genes. Once considered as a rare disease, the global incidence of CeD has steadily risen, posing a growing public health concern. Epidemiological surveys on CeD have been conducted in certain regions of China, with preliminary results indicating a non-negligible disease prevalence. However, diagnostic delays remain prevalent, and delayed and untreated patients may face long-term complications including malnutrition, concurrent autoimmune disorders, and even cancers. This article provides an overview of CeD epidemiology, analyzes its common clinical manifestations and high-risk populations, and summarizes protocols for early screening and diagnosis, aiming to offer references for clinical management of CeD.

     

/

返回文章
返回