Coeliac disease in Croatia Zrinjka Mišak Referral Center for Paediatric Gastroenterology and Nutrition Children’s Hospital Zagreb.

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