Year 2013 / Volume 105 / Number 4
Editorial
Dermatitis herpetiformis – What lies beneath the skin?

pp. 183-186

Álvaro García-Manzanares1 y Alfredo J. Lucendo

Abstract
The prevalence of celiac disease (CD) has continuously increased in the last few years in such a way that 1-3 % of the European population is affected sometime during their lifetime (1). In parallel a change in clinical expression and a delay in diagnosis have been documented (2), with a high frequency of atypical manifestations and a low level of suspicion leading to a majority of undiagnosed celiac patients who will suffer from disease symptoms and remain exposed to the consequences of the condition for years. CD recognition is increasingly apparent in our society - “gluten-free” labels on multiple goods on supermarket shelves, and restaurants with posters publicizing gluten-free menus clearly underscore that the significance of CD has not gone unnoticed to the food industry. In contrast, CD recognition by healthcare providers is still in need of improvement in order to allow an early, accurate diagnosis; only 10 % of CD cases are diagnosed by primary care physicians (3), and diagnostic delays of up to 10 years from symptom onset have been reported (4,5).
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The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
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