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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
0%
20%
40%
60%
80%
100%
1994
1996
1998
2000
2002
2004
2006
2008
<2y
>2y
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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