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  • Title: Hereditary fructose intolerance and celiac disease: a novel genetic association.
    Author: Ciacci C, Gennarelli D, Esposito G, Tortora R, Salvatore F, Sacchetti L.
    Journal: Clin Gastroenterol Hepatol; 2006 May; 4(5):635-8. PubMed ID: 16630753.
    Abstract:
    BACKGROUND & AIMS: Celiac disease (CD) has been associated with several genetic disorders, but has not been associated with hereditary fructose intolerance (HFI). METHODS: We identified CD in 4 female patients affected by HFI from among 38 Italian HFI patients. RESULTS: Three of these patients were children in whom the CD-associated signs were hypertransaminasemia, failure to thrive, low weight, and short stature, whereas the adult patient had protracted diarrhea notwithstanding a fructose-free diet. The incidence of CD in our group of HFI patients was higher (>10%) than in the general population (1%-3%) (P<.02). CONCLUSIONS: The possibility of an association between these 2 gastrointestinal disorders is important, particularly in the management of HFI patients with persisting symptoms.
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