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Barabino L, Galitzia A, Murru R, Caocci G, Greco M, Targhetta C, Angioni G, Vacca A, Piras E, Frau V, Mulas O, La Nasa G. Three is better than two: humoral response in allogeneic HSCT after the third BNT162b2 SARS-CoV-2 mRNA vaccine. Eur Rev Med Pharmacol Sci 2023; 27:6914-6916. [PMID: 37606101 DOI: 10.26355/eurrev_202308_33262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Affiliation(s)
- L Barabino
- Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
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Barabino L, Galitzia A, Murru R, Caocci G, Targhetta C, Greco M, Angioni G, Mulas O, Vacca A, Piras E, Frau V, Costa A, La Nasa G. Chronic graft vs. host disease and hypogammaglobulinemia predict a lower immunological response to the BNT162b2 mRNA COVID-19 vaccine after allogeneic hematopoietic stem cell transplantation. Eur Rev Med Pharmacol Sci 2022; 26:8984-8989. [PMID: 36524517 DOI: 10.26355/eurrev_202212_30572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
OBJECTIVE Due to the high mortality rate of COVID-19, the assessment of BNT162b2 SARS-CoV-2 mRNA vaccine (Pfizer-BioNTech) efficacy in allogeneic hematopoietic stem cell transplant (HSCT) recipients is mandatory. PATIENTS AND METHODS We conducted a single-center pilot study with the main objective of evaluating the immunogenicity of the BNT162b2 mRNA vaccine in 31 hematological patients who underwent hematopoietic stem cell transplantation within the previous 12 months and/or were affected by chronic graft-vs.-host-disease (cGVHD), by the assessment of antibody levels at 30-45 days after the second dose of vaccine. RESULTS After the second dose of vaccine, 23 out of 31 patients (74%) showed a positive immune response. The presence of severe cGVHD or Ig deficiency identified 7 out of 8 (85%) of non-responders. The median absolute cluster of differentiation 19 (CD19) count was significantly lower in non-responders vs. responders (109/µl vs. 351/µl). Underlying pathology, comorbidities, type of donor, time intervals from transplant and cluster of differentiation 3/cluster of differentiation 4/cluster of differentiation 8 (CD3/CD4/CD8) subsets were not significantly associated with an effective immune response to vaccination. CONCLUSIONS Despite the limited sample of patients enrolled, our findings suggest that hypogammaglobulinemia and cGVHD could be associated with poor humoral response to the BNT162b2.
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Affiliation(s)
- L Barabino
- Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
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Mazza E, Marcia S, Mondaini F, Piras E, Giordan N, Torri T, Barbanti-Bròdano G, Parodi F. Efficacy and safety of a novel hydrogel (HYADD4-G) in degenerative disc disease patients: a multicentric open label study. Eur Rev Med Pharmacol Sci 2021; 24:2692-2703. [PMID: 32196620 DOI: 10.26355/eurrev_202003_20539] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE In this premarket clinical study, we evaluated the efficacy and safety of a novel Hydrogel (HYADD4-G) for reducing low back pain (LBP) in patients with degenerative disc disease (DDD). PATIENTS AND METHODS Twenty-three patients with chronic LBP were enrolled. All patients presented with up to three lumbar black discs (Pfirrmann grade III or IV), LBP of at least 40 mm on the Visual Analogue Scale (VAS), and a Roland-Morris Disability Questionnaire (RMDQ) score of at least 9. Patients received a single 1.5 ml intradiscal injection of HYADD4-G (8 mg/ml), guided by X-ray. Our primary endpoint was the change in VAS score from baseline (day 0) to 4, 12, and 24 weeks. Our secondary endpoints were black disc hydration by Magnetic Resonance Imaging (MRI); the patient's therapeutic response according to the RMDQ; the quality of life, as determined by the EuroQol-5 Dimension (EQ-5D) Index; and a global assessment of patient health status, safety, and local tolerability. RESULTS Compared with baseline values, VAS score showed a significant reduction at each time point, and across the overall 24-week follow-up period (p < 0.0001). MRI scanning observed a significant reduction in Pfirrmann grade from baseline, by at least one grade, at both week 4 (p = 0.0039) and week 24 (p = 0.0010). Furthermore, compared with baseline values, there was a significant reduction in RMDQ score at each timepoint, and across the entire study period (p < 0.0001). The EQ-5D index increased significantly from baseline to week 24 (p = 0.0001). Finally, mean VAS scores for Patient Global Assessment (PTGA), and Clinical Observer Global Assessment (COGA), decreased significantly at each time point (p < 0.0001), except for week 4. CONCLUSIONS HYADD4-G proved to be an efficient reliever of low back pain due to DDD.
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Affiliation(s)
- E Mazza
- Interventional Radiology, Villa Donatello, Florence, Italy.
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Marcia S, Piras E, Spinelli A, Marini S, Saba L. Abstract No. 593 Efficacy of a vertebral augmentation system used for bone remodelling as treatment of vertebral fractures. J Vasc Interv Radiol 2018. [DOI: 10.1016/j.jvir.2018.01.638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Sanna M, Caocci G, Orrù F, Ledda A, Vacca A, Piras E, Fozza C, Deias P, Tidore G, Dore F, La Nasa G. Safe fluoroquinolones prophylaxis in blood cancer patients with chemotherapy-induced neutropenia and Glucose-6-Phosphate-Dehydrogenase deficiency. J Clin Pharm Ther 2017; 42:733-737. [DOI: 10.1111/jcpt.12571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2017] [Accepted: 05/09/2017] [Indexed: 11/29/2022]
Affiliation(s)
- M. Sanna
- Hematology Unit; Department of Medical Sciences and Public Health; Bone Marrow Transplant Center; R. Binaghi Hospital; University of Cagliari; Cagliari Italy
| | - G. Caocci
- Hematology Unit; Department of Medical Sciences and Public Health; Bone Marrow Transplant Center; R. Binaghi Hospital; University of Cagliari; Cagliari Italy
| | - F. Orrù
- Hematology Unit; Department of Medical Sciences and Public Health; Bone Marrow Transplant Center; R. Binaghi Hospital; University of Cagliari; Cagliari Italy
| | - A. Ledda
- Hematology Unit; Department of Medical Sciences and Public Health; Bone Marrow Transplant Center; R. Binaghi Hospital; University of Cagliari; Cagliari Italy
| | - A. Vacca
- Hematology Unit; Department of Medical Sciences and Public Health; Bone Marrow Transplant Center; R. Binaghi Hospital; University of Cagliari; Cagliari Italy
| | - E. Piras
- Hematology Unit; Department of Medical Sciences and Public Health; Bone Marrow Transplant Center; R. Binaghi Hospital; University of Cagliari; Cagliari Italy
| | - C. Fozza
- Department of Clinical and Experimental Medicine; University of Sassari; Sassari Italy
| | - P. Deias
- Hematology Unit; Department of Medical Sciences and Public Health; Bone Marrow Transplant Center; R. Binaghi Hospital; University of Cagliari; Cagliari Italy
| | - G. Tidore
- Department of Clinical and Experimental Medicine; University of Sassari; Sassari Italy
| | - F. Dore
- Department of Clinical and Experimental Medicine; University of Sassari; Sassari Italy
| | - G. La Nasa
- Hematology Unit; Department of Medical Sciences and Public Health; Bone Marrow Transplant Center; R. Binaghi Hospital; University of Cagliari; Cagliari Italy
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Nedelcu I, Piras E, Rossi A, Pasaribu HR. XPS analysis on the influence of water on the evolution of zinc dialkyldithiophosphate-derived reaction layer in lubricated rolling contacts. SURF INTERFACE ANAL 2012. [DOI: 10.1002/sia.4853] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- I. Nedelcu
- SKF Engineering and Research Centre; Kelvinbaan 16; 3439 MT; Nieuwegein; The Netherlands
| | - E. Piras
- Department of Inorganic and Analytical Chemistry; University of Cagliari, INSTM; Cagliari; Italy
| | | | - H. R. Pasaribu
- SKF Engineering and Research Centre; Kelvinbaan 16; 3439 MT; Nieuwegein; The Netherlands
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Marcia S, Bellini M, Piras E, Marras M, Ledda G, Sannia S, Romano D, Marini S, Mallarini G. Abstract No. 196: Efficacy of Discogel® radiopaque gelified ethanol + etilcellulose in the treatment of contained disc herniations: A preliminary experience. J Vasc Interv Radiol 2011. [DOI: 10.1016/j.jvir.2011.01.216] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Marcia S, Anselmetti G, Piras E, Sanna A, Boi C, Marini S, Marras M, Mallarini G. Abstract No. 306: Efficacy of percutaneous interspinous spacer in the treatment of neurogenic intermittent claudication due to lumbar spinal stenosis. J Vasc Interv Radiol 2011. [DOI: 10.1016/j.jvir.2011.01.335] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Littera R, Orrù N, Vacca A, Bertaina A, Caocci G, Mulargia M, Giardini C, Piras E, Mastronuzzi A, Vinti L, Orrù S, Locatelli F, Carcassi C, Nasa GL. The role of killer immunoglobulin-like receptor haplotypes on the outcome of unrelated donor haematopoietic SCT for thalassaemia. Bone Marrow Transplant 2010; 45:1618-24. [DOI: 10.1038/bmt.2010.24] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Caocci G, Pisu S, Argiolu F, Giardini C, Locatelli F, Vacca A, Orofino MG, Piras E, De Stefano P, Addari MC, Ledda A, La Nasa G. Decision-making in adult thalassemia patients undergoing unrelated bone marrow transplantation: quality of life, communication and ethical issues. Bone Marrow Transplant 2005; 37:165-9. [PMID: 16299541 DOI: 10.1038/sj.bmt.1705236] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Bone marrow transplantation (BMT) represents a potentially curative treatment of thalassemia. For patients without an HLA-identical sibling donor, recourse to an unrelated donor is a practicable option but the candidates and their families are faced with a difficult decision. They can either choose to continue the supportive therapy, with no chance of definitive cure, or they accept the mortality risk of BMT in the hope of obtaining a definitive resolution of the disease. We investigated the communication strategies and the post transplantation quality of life (QoL) in 19 adult thalassemia patients surviving after an unrelated donor BMT. The patients were given two questionnaires: a questionnaire to evaluate pre-transplantation communication factors and the EORTC QLQ-C30 questionnaire to assess global QoL. All patients were satisfied with the communication modalities employed by the physicians. The global post transplantation QoL in our patient cohort was found to be good. The approach used in this study may offer a contribution to understanding the decision-making process leading to the choice of a treatment with a high mortality risk for a chronic, non-malignant disease. Finally, some ethical issues of this therapeutic approach are briefly addressed.
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Affiliation(s)
- G Caocci
- Unità Operativa Centro Trapianti di Midollo Osseo, P.O. R. Binaghi, Cagliari, Italy.
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La Nasa G, Caocci G, Argiolu F, Giardini C, Locatelli F, Vacca A, Orofino MG, Piras E, Addari MC, Ledda A, Contu L. Unrelated donor stem cell transplantation in adult patients with thalassemia. Bone Marrow Transplant 2005; 36:971-5. [PMID: 16205730 DOI: 10.1038/sj.bmt.1705173] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Allogeneic SCT remains the only potential cure for patients with thalassemia. However, most BMT candidates lack a suitable family donor and require an unrelated donor (UD). We evaluated whether BMT using UDs in high-risk adult thalassemia patients can offer a probability of cure comparable to that reported employing an HLA-compatible sibling as donor. A total of 27 adult thalassemia patients (15 males and 12 females, median age 22 years) underwent BMT from a UD selected by high-resolution HLA molecular typing. The conditioning regimen consisted of Busulphan (BU, 14 mg/kg) plus Cyclophosphamide (CY, 120 or 160 mg/kg) in 12 cases and BU (14 mg/kg), Thiotepa (10 mg/kg) and CY (120-160 mg/kg) in the remaining 15 cases. Cyclosporine-A and short-term Methotrexate were used for graft-versus-host disease (GVHD) prophylaxis. In all, 19 patients (70%) are alive and transfusion-independent after a median follow-up of 43 months (range 16-137). A total of 10 patients (37%) developed grade II-IV acute GVHD and six (27%) chronic GVHD. Eight patients (30%) died from transplant-related causes. UD-BMT can cure more than two-thirds of adult thalassemia patients, and is a particularly attractive option for patients who are not compliant with conventional treatment.
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Affiliation(s)
- G La Nasa
- Unità Operativa Centro Trapianti di Midollo Osseo, Centro Regionale Trapianti, P.O. R. Binaghi, Cagliari, Italy.
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La Nasa G, Giardini C, Locatelli F, Argiolu F, Vassallo E, Prete A, Caocci G, Floris R, Garau P, Littera R, Mantovani D, Oppi S, Piras E, De Stefano P, Sanna MA, Mulargia M, Carcassi C, Contu L. Unrelated bone marrow transplantation in thalassemia. The experience of the Italian Bone Marrow Transplant Group (GITMO). Haematologica 2002; 87:58-61. [PMID: 12412392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Allogeneic bone marrow transplantation (BMT) is a widely accepted therapeutic approach in homozygous beta-thalassemia. However, the majority of patients do not have a genotypically identical donor within the family. This prompted us to conduct a pilot study to investigate the feasibility of matched unrelated bone marrow transplantation in thalassemia. The major drawback was the high risk of immunologic and transplant-related complications, mainly graft-versus-host disease (GvHD) and graft failure. DESIGN AND METHODS Our aim was to reduce this risk through careful selection of donor/recipient pairs. HLA haplotypes that show a high linkage disequilibrium among their class I, class II and class III alleles are considered extended or ancestral haplotypes. RESULTS These haplotypes are conserved and can be shared by apparently unrelated individuals. Our study shows that matching for these haplotypes significantly improves the outcome of unrelated bone marrow transplantation in thalassemia. In fact, results were comparable to those obtained in transplants using HLA-identifical family donors. INTERPRETATION AND CONCLUSIONS Better results were obtained in patients with lesser iron overload and when the donor shared an identity for the DPB1 alleles.
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Affiliation(s)
- G La Nasa
- Centro Trapianti Midollo Osseo, Ospedale R. Binaghi, Cattedra di Genetica Medica, Università di Cagliari, Italy.
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Velluzzi F, Caradonna A, Boy MF, Pinna MA, Cabula R, Lai MA, Piras E, Corda G, Mossa P, Atzeni F, Loviselli A, Usai P, Mariotti S. Thyroid and celiac disease: clinical, serological, and echographic study. Am J Gastroenterol 1998; 93:976-9. [PMID: 9647032 DOI: 10.1111/j.1572-0241.1998.291_u.x] [Citation(s) in RCA: 47] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVE We sought to reevaluate the prevalence of thyroid dysfunction and thyroid autoimmunity in 47 patients with celiac disease; 91 healthy subjects were studied as controls. Both patients and controls were from Sardinia, Italy. METHODS Diagnosis of celiac disease was made on the basis of clinical history, presence of positive antigliadin IgA (AGA-A) and IgG (AGA-G) antibodies, antireticulin antibodies (ARA), antiendomysium antibodies (EMA), and was confirmed by jejunal biopsy. HLA class II typing for DQB1 and DQA1 alleles was performed in 36/47 celiac patients. Thyroid was evaluated by palpation and echography; serum free thyroid hormones (FT4, FT3), thyrotropic hormone (TSH), and antithyroid peroxidase autoantibodies (anti-TPO) were assayed by radioimmunoassays. RESULTS The prevalence of anti-TPO was higher in celiac patients (29.7%) than in healthy controls (9.6%) (p < 0.001) and thyroid echography frequently displayed (42.5%) a hypoechogenic pattern. Five anti-TPO-positive celiac patients were hypothyroid (two overt, three subclinical). A higher but not significantly different prevalence of anti-TPO (3/7 = 42.8%) was found in celiac patients displaying the DQB1*0502 genotype, when compared with the remaining patients (8/29 = 27.6%). CONCLUSIONS An elevated prevalence of clinical and subclinical autoimmune thyroid autoimmunity was found in Sardinian celiac patients, especially in those displaying the DQB1*0502 genotype; this finding could be related to a particular genetic background of the Sardinian population.
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Affiliation(s)
- F Velluzzi
- Department of Endocrinology, Institute of Internal Medicine, University of Cagliari, Italy
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Usai P, Usai Satta P, Lai M, Corda MG, Piras E, Calcara C, Boy MF, Morelli A, Balestrieri A, Bassotti G. Autonomic dysfunction and upper digestive functional disorders in untreated adult coeliac disease. Eur J Clin Invest 1997; 27:1009-15. [PMID: 9466129 DOI: 10.1046/j.1365-2362.1997.2340781.x] [Citation(s) in RCA: 66] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
There is recent evidence that upper-gut motor abnormalities may be present in coeliac disease. However, to date, the pathophysiological mechanisms responsible for the above have not been explored. The purpose of the present study was to investigate upper-gut motor activity in coeliac disease and explore the role played by the autonomic nervous system in motility disturbances. Thirty untreated adult coeliac patients were recruited into the study. Oesophageal manometry and cardiovascular autonomic tests were performed in all patients; oesophageal pH-metry was carried out in 20 patients, gastrointestinal manometry in eight and scintigraphic gastric emptying in 13. Oesophageal motor abnormalities were detected in about 50% of patients, pH-metry was abnormal in 30% of them, and up to 75% of coeliac patients displayed gastrointestinal motility alterations. Delayed gastric emptying was documented in about 50% of patients and was correlated with manometric post-prandial hypomotility. Autonomic tests were positive in 45% of patients as a group, and reached pathological score in 19% of them. Autonomic score correlated significantly with the percentage of bi-peaked waves and with the number of fasting intestinal clusters. This study confirms that upper-gut motor abnormalities are frequently present in adult coeliac disease. Extrinsec autonomic neuropathy may play a role, although other pathophysiological mechanisms are likely to occur.
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Affiliation(s)
- P Usai
- Istituto di Medicina Interna, Università degli Studi di Cagliari, Italy
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Usai P, Boi MF, Piga M, Cacace E, Lai MA, Beccaris A, Piras E, La Nasa G, Mulargia M, Balestrieri A. Adult celiac disease is frequently associated with sacroiliitis. Dig Dis Sci 1995; 40:1906-8. [PMID: 7555441 DOI: 10.1007/bf02208654] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
No data are available on the presence and frequency of peripheral or central joint disease, routinely determined by bone scintigraphy with 740 MBq of [99mTc]MDP, in adult celiac disease. Bone scintigraphy was carried out to detect early acute inflammatory lesions in 22 adult celiac patients (15 females and seven males; mean age 36.72 years, range 17-63). Bone scintigraphy was positive for sacroiliitis in 14 cases (63.6%). Except in the case of one patient suffering from rheumatoid arthritis, laboratory data were normal. Our data suggest that as in other chronic intestinal diseases, celiac disease in adults, is frequently associated with central joint disease. This high incidence of sacroiliitis, the joint disease most frequently found in our patients, has not been previously reported in other series. We believe, therefore, this difference could be explained by the different methodology used for the screening of joint disease.
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Affiliation(s)
- P Usai
- Istituto di Medicina Interna, University of Cagliari, Italy
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