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Osteoporosis and coeliac disease

BMJ 2000; 320 doi: (Published 11 March 2000) Cite this as: BMJ 2000;320:715

Screening all patients with osteoporosis would be inappropriate

  1. W E Fickling, research registrar (,
  2. A K Bhalla, consultant rheumatologist
  1. Royal United Hospital, Bath BA1 3NG
  2. Royal National Hospital for Rheumatic Diseases, Bath BA1 1RL
  3. Department of Immunology, St James's Hospital and Trinity College Dublin, Dublin 8, Republic of Ireland

    EDITOR—In his review of coeliac disease Feighery comments on the high incidence of osteoporosis in coeliac patients and says that this may be a presenting feature.1 He goes further to recommend, however, that all patients with osteoporosis should be screened for coeliac disease by measurement of endomysial antibodies.1 Most patients with osteoporosis do not have coeliac disease, and it is …

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