Coeliac disease in Croatia Zrinjka Mišak Referral Center for Paediatric Gastroenterology and Nutrition Children’s Hospital Zagreb.

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Presentation transcript:

Coeliac disease in Croatia Zrinjka Mišak Referral Center for Paediatric Gastroenterology and Nutrition Children’s Hospital Zagreb

CD in Croatia  Croatia – 4,3 mil inhabitants  Zagreb – near 1 mil Zagreb Rijeka Split Osijek 4 university medical centres

CD in Croatia  Children’s Hospital Zagreb Referral Center for Paediatric Gastroenterology and Nutrition Ongoing studies: PreventCD Chromosomal abberations

Epidemiology of CD in Croatia  Incidence of clinically recognized CD pts 1:519 (Matek et al, Coll Antropol 1999)  Screening: 1:461 (Jungvirth et al, Acta Med Croat 2001) Zagreb Rijeka Split Osijek

Clinical picture of CD in Croatia  Majority of patients (70%) younger than 2 y of age  classical clinical picture

Clinical picture of CD in Croatia

CD in Croatia After the diagnosis  10 kg of gluten free flour per month free of charges (covered by the health insurance)  Mother of a patient can prolong a maternity leave up to 3 y of age

CD in Croatia - Problems  The exact number of diagnosed pts unknown (no registry)  Several societies - not collaborating well  Awareness of the problem is low

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