Why is celiac disease so common in Ireland

作者: Cornelius C. Cronin , Fergus Shanahan

DOI: 10.1353/PBM.2001.0045

关键词: DiarrheaEnvironmental healthEthnic groupScreening testDiseaseDietary historyGlutenInternal medicineGastroenterologyMalabsorptionIrishMedicine

摘要: Celiac disease (gluten sensitive enteropathy) is a condition affecting the small bowel, characterized by permanent intolerance to dietary gluten, and giving rise varying degrees of malabsorption diarrhea. With advent screening tests, being increasingly diagnosed. more common in Irish those descent. Simoons (1978, 1981) hypothesized that present-day prevalence celiac across Europe related interaction between genetic gradients, largely determined advance agriculture, historical patterns cereal ingestion. This essay examines Simoons' hypothesis as it relates Ireland, reviews ethnic mix living on island Ireland aspects history, considers how these factors may have combined result high frequency disease.

参考文章(39)
G. Mazzacca, F Sabbatini, G Di Dato, Carolina Ciacci, Massimo Cirillo, G Auriemma, Celiac disease and pregnancy outcome The American Journal of Gastroenterology. ,vol. 91, pp. 718- 722 ,(1996)
Patrick Loughrey, The People of Ireland Appletree. ,(1989)
Theodore William Moody, Francis X. Martin, The Course of Irish History ,(1967)
Ludvig M. Sollid, Erik Thorsby, HLA susceptibility genes in celiac disease: Genetic mapping and role in pathogenesis Gastroenterology. ,vol. 105, pp. 910- 922 ,(1993) , 10.1016/0016-5085(93)90912-V
A. J. Ammerman, L. L. Cavalli-Sforza, Measuring the Rate of Spread of Early Farming in Europe Man; (). ,vol. 6, pp. 674- ,(1971) , 10.2307/2799190
Cathal Póirtéir, The great Irish famine Mercier press. ,(1995)
J. S. Stewart, Perspectives in Coeliac Disease Gut. ,vol. 19, pp. 1087- 1088 ,(1978) , 10.1136/GUT.19.11.1087-A
M. Mylotte, B. Egan-Mitchell, C. F. McCarthy, B. McNicholl, Incidence of Coeliac Disease in the West of Ireland BMJ. ,vol. 1, pp. 703- 705 ,(1973) , 10.1136/BMJ.1.5855.703
L.P. Ryder, Elly Andersen, A. Svejgaard, An HLA Map of Europe Human Heredity. ,vol. 28, pp. 171- 200 ,(1978) , 10.1159/000152958