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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. Osijek. 4 university medical centres. Split. CD in Croatia.
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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 Osijek 4 university medical centres Split
CD in Croatia • Children’s Hospital Zagreb • Referral Center for Paediatric Gastroenterology and Nutrition • Ongoing studies: • PreventCD • Chromosomal abberations
Zagreb Rijeka Osijek Split 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)
Clinical picture of CD in Croatia • Majority of patients (70%) younger than 2 y of age • classical clinical picture
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