Point-Of-Care Test Screening Versus Case Finding For Paediatric Coeliac Disease: A Pragmatic Study In Primary Care

In pediatric Celiac Disease (CD), symptoms may not be a reliable factor in the diagnosis of celiac disease as described by Rosen et al (1) and thus recommendations for reviewing CD screening criteria were suggested (2). Apart from the costs, an important limiting factor in pediatric population mass screening using conventional immunoglobulin (Ig) A tissue transglutaminase (tTGIgA) may be the low compliance of asymptomatic children to be referred for testing. On the other hand, the alternative approach, the CF strategy, relies on selecting the individuals to be tested for CD, in the presence of conditions known to be associated with CD, by the family pediatrician.