An increased prevalence of celiac disease has been reported in neurolo
gical disorders of unknown etiology. A large proportion of Alzheimer's
cases is still of unexplained etiology. Thirty-three Alzheimer's pati
ents and 24 elderly controls were screened for celiac disease. IgA and
IgG antigliadin antibodies were assayed in serum samples with enzyme-
linked immunoassay. Confirmation of celiac disease in positive subject
s was made by assaying IgA anti-endomysium antibodies by indirect immu
nofluorescence. Two Alzheimer's patients and 2 controls were positive
for antigliadin antibodies (6 versus 8%; NS). None was positive for an
ti-endomysium antibodies. We conclude that the prevalence of celiac di
sease in Alzheimer's disease is not higher than in cognitively unimpai
red elders, suggesting that the immune changes in celiac disease are u
nlikely to play a role in Alzheimer's disease.