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The Association of IgA Deficiency and Celiac Disease: What Hides Under the Iceberg

Received: 9 November 2020     Accepted: 20 November 2020     Published: 3 March 2021
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Abstract

Celiac disease is an autoimmune enteropathy, secondary to an allergy to gluten in genetically predisposed subjects, results in clinical polymorphism, with the presence of malabsorption syndrome, is a villous atrophy demonstrated using gastroscopy, which allows to biopsy the duodenal mucosa in order to demonstrate this atrophy at the histological level and also the demonstration of basal lymphocytosis, its associated clinical, endoscopic and histological abnormalities are positive for anti- ACs. IgA-type transglutaminase, the latter may be deficient, the chosen which is frequent in celiac patients compared to the general population, making sometimes the diagnosis is a challenge for the clinician. We report the case of an association between an IgA deficiency and celiac disease in a 20-year-old patient with no personal or family pathological history, revealed by diarrhea with signs of deficiency in connection with malabsorption and the presence of the sign suggestive at endoscopy. digestive system, with an analysis of the relationship between seronegative celiac disease (SNCD) and immunoglobulin A deficiency through a review of the literature on the main medical databases

Published in International Journal of Immunology (Volume 9, Issue 1)
DOI 10.11648/j.iji.20210901.13
Page(s) 13-15
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Celiac Disease, Selective IgA Deficiency, Diagnostic Trap, IgA-tTG, Intestinal Biopsy, Gastroscopy

References
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[2] Ballow M. Primary immunodeficiency disorders: antibody deficiency. J. Allergy Clin. Immunol. 2002; 109: 581–591.
[3] McGowan KE, Lyon ME, Butzner JD. Celiac disease and IgA deficiency: complications of serological testing approaches encountered in the clinic. Clin. Chem. 2008; 54: 1203–1209.
[4] Giorgio F, Principi M, Losurdo G, Piscitelli D, Iannone A, Barone M, et al. Seronegative celiac disease and immunoglobulin deficiency: where to look in the submerged iceberg? Nutrients 2015; 7: 7486–7504.
[5] Ianiro G, Bibbò S, Montalto M, Ricci R, Gasbarrini A, Cammarota G. Systematic review: sprue-like enteropathy associated with olmesartan. Aliment. Pharmacol. Ther. 2014; 40: 16–23.
[6] Carroccio A, D’Alcamo A, Mansueto P. Nonceliac wheat sensitivity in the context of multiple food hypersensitivity: New data from confocal endomicroscopy. Gastroenterology 2015; 148: 666–667.
[7] Koot BG, ten Kate FJ, Juffrie M, Rosalina I, Taminiau JJ, Benninga MA. Does Giardia lamblia cause villous atrophy in children?: A retrospective cohort study of the histological abnormalities in giardiasis. J. Pediatr. Gastroenterol. Nutr. 2009; 49: 304–308.
[8] Notarangelo LD, Fischer A, Geha RS, Casanova J-L, Chapel H, Conley ME, et al. Primary immunodeficiencies: 2009 update. J. Allergy Clin. Immunol. 2009; 124: 1161–1178.
[9] Conley ME, Cooper MD. Immature IgA B cells in IgA-deficient patients. N. Engl. J. Med. 1981; 305: 495–497.
[10] Brandtzaeg P. Update on mucosal immunoglobulin A in gastrointestinal disease. Curr. Opin. Gastroenterol. 2010; 26: 554–563.
[11] Cunningham-Rundles C, Fotino M, Rosina O, Peter JB. Selective IgA deficiency, IgG subclass deficiency, and the major histocompatibility complex. Clin. Immunol. Immunopathol. 1991; 61: S61–S69.
[12] Zaoui A, Galian A, Rioche M, Benamour S. Déficit immunitaire sélectif en IgA Syndrome de malabsorption intestinale et connectivite mixte. Rev. Médecine Interne 1987; 8: 321–323.
[13] Pallav K, Xu H, Leffler DA, Kabbani T, Kelly CP. Immunoglobulin A deficiency in celiac disease in the United States. J. Gastroenterol. Hepatol. 2016; 31: 133–137.
[14] Sinclair D, Duncan H. What happens to patients with positive tissue transglutaminase and endomysium antibody results in general practice? J. Clin. Pathol. 2004; 57: 943–945.
Cite This Article
  • APA Style

    Hajar Saffour, Hassan Ouaya, Raihane Bahri, Fadoua Elfarssani, Karima Benjouad, et al. (2021). The Association of IgA Deficiency and Celiac Disease: What Hides Under the Iceberg. International Journal of Immunology, 9(1), 13-15. https://doi.org/10.11648/j.iji.20210901.13

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    ACS Style

    Hajar Saffour; Hassan Ouaya; Raihane Bahri; Fadoua Elfarssani; Karima Benjouad, et al. The Association of IgA Deficiency and Celiac Disease: What Hides Under the Iceberg. Int. J. Immunol. 2021, 9(1), 13-15. doi: 10.11648/j.iji.20210901.13

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    AMA Style

    Hajar Saffour, Hassan Ouaya, Raihane Bahri, Fadoua Elfarssani, Karima Benjouad, et al. The Association of IgA Deficiency and Celiac Disease: What Hides Under the Iceberg. Int J Immunol. 2021;9(1):13-15. doi: 10.11648/j.iji.20210901.13

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  • @article{10.11648/j.iji.20210901.13,
      author = {Hajar Saffour and Hassan Ouaya and Raihane Bahri and Fadoua Elfarssani and Karima Benjouad and Adil Aiterrami and Soufia Oubaha and Zouhour Samlani and Khadija Krati and Brahim Admou},
      title = {The Association of IgA Deficiency and Celiac Disease: What Hides Under the Iceberg},
      journal = {International Journal of Immunology},
      volume = {9},
      number = {1},
      pages = {13-15},
      doi = {10.11648/j.iji.20210901.13},
      url = {https://doi.org/10.11648/j.iji.20210901.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.iji.20210901.13},
      abstract = {Celiac disease is an autoimmune enteropathy, secondary to an allergy to gluten in genetically predisposed subjects, results in clinical polymorphism, with the presence of malabsorption syndrome, is a villous atrophy demonstrated using gastroscopy, which allows to biopsy the duodenal mucosa in order to demonstrate this atrophy at the histological level and also the demonstration of basal lymphocytosis, its associated clinical, endoscopic and histological abnormalities are positive for anti- ACs. IgA-type transglutaminase, the latter may be deficient, the chosen which is frequent in celiac patients compared to the general population, making sometimes the diagnosis is a challenge for the clinician. We report the case of an association between an IgA deficiency and celiac disease in a 20-year-old patient with no personal or family pathological history, revealed by diarrhea with signs of deficiency in connection with malabsorption and the presence of the sign suggestive at endoscopy. digestive system, with an analysis of the relationship between seronegative celiac disease (SNCD) and immunoglobulin A deficiency through a review of the literature on the main medical databases},
     year = {2021}
    }
    

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    T1  - The Association of IgA Deficiency and Celiac Disease: What Hides Under the Iceberg
    AU  - Hajar Saffour
    AU  - Hassan Ouaya
    AU  - Raihane Bahri
    AU  - Fadoua Elfarssani
    AU  - Karima Benjouad
    AU  - Adil Aiterrami
    AU  - Soufia Oubaha
    AU  - Zouhour Samlani
    AU  - Khadija Krati
    AU  - Brahim Admou
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    DO  - 10.11648/j.iji.20210901.13
    T2  - International Journal of Immunology
    JF  - International Journal of Immunology
    JO  - International Journal of Immunology
    SP  - 13
    EP  - 15
    PB  - Science Publishing Group
    SN  - 2329-1753
    UR  - https://doi.org/10.11648/j.iji.20210901.13
    AB  - Celiac disease is an autoimmune enteropathy, secondary to an allergy to gluten in genetically predisposed subjects, results in clinical polymorphism, with the presence of malabsorption syndrome, is a villous atrophy demonstrated using gastroscopy, which allows to biopsy the duodenal mucosa in order to demonstrate this atrophy at the histological level and also the demonstration of basal lymphocytosis, its associated clinical, endoscopic and histological abnormalities are positive for anti- ACs. IgA-type transglutaminase, the latter may be deficient, the chosen which is frequent in celiac patients compared to the general population, making sometimes the diagnosis is a challenge for the clinician. We report the case of an association between an IgA deficiency and celiac disease in a 20-year-old patient with no personal or family pathological history, revealed by diarrhea with signs of deficiency in connection with malabsorption and the presence of the sign suggestive at endoscopy. digestive system, with an analysis of the relationship between seronegative celiac disease (SNCD) and immunoglobulin A deficiency through a review of the literature on the main medical databases
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • Service of Immunology, Department of Biology, Mohammed VI University Hospital, Marrakech, Morocco

  • Department of Gastroenterology, Mohammed VI University Hospital, Marrakech, Morocco

  • Service of Immunology, Department of Biology, Mohammed VI University Hospital, Marrakech, Morocco

  • Service of Immunology, Department of Biology, Mohammed VI University Hospital, Marrakech, Morocco

  • Department of Gastroenterology, Mohammed VI University Hospital, Marrakech, Morocco

  • Department of Gastroenterology, Mohammed VI University Hospital, Marrakech, Morocco

  • Department of Physiology, Faculty of Medicine at Cadi Ayyad University, Marrakech, Morocco

  • Department of Gastroenterology, Mohammed VI University Hospital, Marrakech, Morocco

  • Department of Gastroenterology, Mohammed VI University Hospital, Marrakech, Morocco

  • Service of Immunology, Department of Biology, Mohammed VI University Hospital, Marrakech, Morocco

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