LAUSR

1 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 Dear Editors: I read with great interest the study by Choung et al conducted on a population living in Olmsted County, Minnesota. In this community, the prevalence of undiagnosed celiac disease was 1%. Furthermore, to compare the proportion of comorbidities between undiagnosed cases of celiac disease and ageand sex-matched seronegative subjects, a nested case control study was performed. Analyzing the difference of laboratory parameters the authors found lower ferritin levels (P1⁄4 .01) and cholesterol levels (P1⁄4 .03) in cases of undiagnosed celiac disease than in controls. It has been reported that 40% of individuals have elevated liver functions tests at celiac disease diagnosis and the majority normalize with standard diet. In the era of the decline of viral hepatitis, the nonviral causes of increased liver functions tests are a great challenge in the field of