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Highly Accessed Letter

Response to ‘Remarkable prevalence of celiac disease in patients with irritable bowel syndrome plus fibromyalgia in comparison with those with isolated irritable bowel syndrome: a case-finding study’

David D Sherry

Author Affiliations

Division of Rheumatology, The Children’s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, 10th floor, Colket, 34th & Civic Center Blvd, Philadelphia, PA 19104, USA

Arthritis Research & Therapy 2014, 16:402  doi:10.1186/ar4487


See related research by Rodrigo et al., http://arthritis-research.com/content/15/6/R201, and related letter by Rodrigo et al., http://arthritis-research.com/content/16/1/403

The electronic version of this article is the complete one and can be found online at: http://arthritis-research.com/content/16/1/402


Published:17 February 2014

© 2014 BioMed Central Ltd.

Letter

In a recent issue of Arthritis Research & Therapy, I read with interest the report by Rodrigo and colleagues [1] documenting a fairly high rate of celiac disease in patients with irritable bowel syndrome and fibromyalgia. It is noteworthy that their patients improved on a gluten-free diet. However, that article references the report by Taubman and colleagues [2] and implies that our patient improved on a gluten-free diet whereas she actually, as reported, had an exacerbation of her symptoms on a gluten-free diet. Although the majority of such patients may improve when their celiac disease is treated, I do not want your readers to have the impression that such improvement is a uniform phenomenon. Both conditions are relatively common and therefore it is to be expected that some individuals will be unfortunate enough to have both conditions, unrelated to each other.

Competing interests

The author declares that he has no competing interests.

References

  1. Rodrigo L, Blanco I, Bobes J, de Serres FJ: Remarkable prevalence of celiac disease in patients with irritable bowel syndrome plus fibromyalgia in comparison with those with isolated irritable bowel syndrome: a case-finding study.

    Arthritis Res Ther 2013, 15:R201. PubMed Abstract | BioMed Central Full Text OpenURL

  2. Taubman B, Mamula P, Sherry DD: Prevalence of asymptomatic celiac disease in children with fibromyalgia: a pilot study.

    Pediatr Rheumatol Online J 2011, 9:11. PubMed Abstract | BioMed Central Full Text | PubMed Central Full Text OpenURL