Regional differences in coeliac disease prevalence in Scandinavia?

Background: According to investigations from the central region of Sweden ( Linkoping), Norway, and Finland based on antibody screening, the prevalence of coeliac disease (CD) is around 1:300 (0.33 %). In Denmark surveys in pa ediatric departments have shown a prevalence of only 1:10,000. The aim of t he present study was to study the prevalence of CD in southern Sweden. Meth ods: From October 1996 to February 1997, 1970 healthy blood donors were scr eened for CD in a serial procedure: first IgA and IgG gliadin antibodies (G A) and then endomysial antibodies in those positive for GA. Results: One pa tient had previously known CD. Two patients had gastrointestinal symptoms a nd an increased number of intraepithelial lymphocytes, with improvement on a gluten-free diet. Three of 185 GA-positive blood donors had endomysial an tibodies and biopsy-verified CD. Thus, 4 of 1970 blood donors had classic C D, resulting in a prevalence of 1:492 (0.20 %)-that is, rather similar to t hat found in Linkoping, Sweden, and in Finland and Norway. If the two perso ns with gluten-sensitive diarrhoea were also included, the prevalence was 6 :1970 = 1:328, or 0.30 %. Conclusions: The prevalence of classic CD (1:492) in southern Sweden is comparable to that found in the rest of Scandinavia, except for Denmark.