Background Behcet's disease and Celiac disease, both common in Iran, share many immunopathogenic and clinical features. Based on the
possible association between these two diseases, this study is designed to determine the frequency of non-diagnosed celiac
disease in patients with Behcet’s disease.
Methods The sera of 288 consecutive patients with Behcet’s disease were screened with anti-endomysial antibody and anti-tissue transglutaminase
antibody for celiac disease. Those with a positive test underwent upper gastrointestinal endoscopy and duodenal biopsies to
confirm the diagnosis of celiac disease. The patients with celiac disease were put on a gluten free diet to evaluate its efficacy
on the improvement of their lesions.
Results Fourteen patients had positive anti-tissue transglutaminase antibody test (two with positive anti-endomysial antibody as
well). Duodenal biopsies showed findings compatible with Marsh 3 in one and Marsh 1 in three other patients. All the diagnosed
patients with celiac disease responded to the gluten free diet.
Conclusion Our findings didn’t support any association between celiac disease and Behcet’s disease in Iranian patients compared to the
general population of Iran.
Keywords Behcet’s disease - Celiac disease - Anti-tissue transglutaminase antibody - Anti-endomysial antibody