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Sat, 28 Mar 1998 14:00:10 +0600
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<<Disclaimer: Verify this information before applying it to your situation.>>

  Dear List members,
  This is doctor Michail Valivach again, the one who performed investigations
in the celiacs participants of the list (QUESTIONS). I have received
37 replies and 32 of them were selected for statistical analysis. I enclose
the results. May be it will be interesting for the List members to compare
themselves with an "average celiac".
  I compose a computer expert system for practical purposes. Thanks to
the responders it became possible to make a screening program to search for
the patients who need  to be tested for CD.
  The only difficulty I have today is absence of control group. The region
we live in is ecologically unfavorable (radiation, mercury, lead) and our
residents can not be used as a control group. I want to ask List members
aged above 25 to answer my QUESTIONS. It is necessary for participants to have
no serious diseases. I will make comparative analysis and report you the
results.  The QUESTION are sent again in a separate message.
  Thanks for everybody for collaboration.
  I am sorry for my bad English.
  Michail Valivach, MD, Pavlodar, Kazakhstan
-------------------------------------------------------------

           Common characteristics of the celiac group

 (Note: only the signs with frequency above 30% are listed)

                         SEX
 G1:  32                                 N1    í1 +/- m1 %
MALES                                    32   28.1   8.1
FEMALES                                  32   71.9   8.1
                   LIFE PERIOD
 G1:  32                                 N1    í1 +/- m1 %
PUBERT.                                  32    6.2   4.3
FERTIL.                                  32   53.1   9.0
POSTFERTIL.                              32   40.6   8.8
                     BODY WEIGHT
 G1:  32                                 N1    í1 +/- m1%
SIGNIFICANTLY BELOW NORMAL               32    3.1   3.1
BELOW NORMAL                             32    9.4   5.2
NORMAL                                   32   68.8   8.3
ABOVE NORMAL                             32   12.5  5.9
SIGNIFICANTLY ABOVE NORMAL               32    6.2  4.3

MEAN AGE                                 32  46.446   2.338

MEAN HEIGHT  in cm                       32 157.219   7.423

MEAN WEIGHT  in kg                       32  62.031   3.814

               GENERAL CONDITION
 G1:  32                                 N1    í1 +/- m1 %
Fatigue                                  30   0.567   9.2
Frequent or chronic infections           32   0.344   8.5

                        THE SKIN
Lip dryness                              32   75.0   7.8

Rough skin of hands                      32   75.0   7.8
Skin Dryness                             27   66.7   9.2
Itching                                  32   65.6   8.5
Nail fragility                           32   62.5   8.7
Predisposition to acne                   30   56.7   9.2
Bad tolerance to sun burns               30   50.0   9.3
Dry elbows                               31   45.2   9.1
Hair dryness                             31   41.9   9.0
Scaling or roughness around the
eyes or above the brows                  31   41.9   9.0
Scaling dermatitis                       31   41.9   9.0
Nail wall fragility                      30   36.7   8.9
Dandruff                                 31   35.5   8.7

                       MUCOUS MEMBRANES
Cracks on the tongue                     31   35.5   8.7
Dryness of the mucous membranes          31   45.2   9.1
Gum bleeding after tooth brushing        29   37.9   9.2

                      DIGESTIVE SYSTEM
Hemorrhoids                              32   56.2  8.9
Visible steatorrhea                      31   54.8  9.1
Intestinal murmur after food             29   48.3  9.4
Feeling bloated after food               31   45.2  9.1
Rotten smell of stool                    29   41.4  9.3
Epigastric pains                         29   37.9  9.2
Intestinal murmur after milk             28   35.7  9.2
Gastric pains or nausea on fasting       31   35.5  8.7
Unpleasant smell from the mouth          32   34.4  8.5
Heartburn or regurgitation               30   33.3  8.8
Frequent urges to defecate               30   33.3  8.8
Liquid or semiliquid stool               31   32.3  8.5
Pains below the left ribs                29   31.0  8.7
-------------------------------------------------------------


   NOTE:

    In the tables below correlations of different signs with each other
are given. The signs which did not reach statistical significance were
omitted.

    List of the Tables:

    Age groups
    Acne in CD
    Predisposition to allergic reaction in CD
    Feeling bloated after food in CD
    Skin dryness and/or irritation around the eyes and/or above
    the brows in CD
    Scaling and/or dryness  of the cheeks in CD
    Skin dryness and/or irritation around the eyes and/or above
    the brows in CD
    Scaling and/or dryness  of the cheeks in CD
    Fragmented stool in CD
    Predisposition to spastic constipation in CD
    Hemorrhoids  in CD
    Predisposition to atonic  constipation in CD
    Scaling dermatites in CD
    Dry elbows in CD
    Epigastric pains  in CD
    Epigastric pains or nausea on fasting in CD
    Fatigue in CD
    Hand dryness, and/or scaling and/or irritation in CD
    Predisposition to hairloss in CD
    Predisposition to frequent or chronic infections in CD
    Skin itching in CD
    Lip dryness in CD
    Intestinal murmur after food in CD
    Nail fragility in CD
    Skin irritation in the  nasolabial region in CD
    Scaling of the nose in CD
    Patch-shaped foci of hyperkeratosis in CD
    Stool with rotten smell in CD
    Liquid or semiliquid stool in CD
    General skin dryness in CD
    Bad tolerance to sunburns in CD
    Visible steatorrhea  in CD
    Frequent urges to defecate in CD
------------------------------------------------------------------


                          Age groups

                       Age <  46             Age  >  46
 G1:  14 G2:  17     N1    í1  +/- m1      N2    í2  +/- m2 %
Acne                 14     78.6    11.4   15     33.3    12.6  P<0.01
Itching              14     42.9    13.7   17     82.4     9.5  P<0.05
Gum bleeding after
tooth brushing        12     66.7    14.2   16     18.8    10.1  P<0.01
Heartburn or
regurgitation        13     15.4    10.4   16     50.0    12.9  P<0.05
Feeling bloated
after food           14     14.3     9.7   16     68.8    12.0  P<0.01
Intestinal murmur
after food           14     28.6    12.5   14     71.4    12.5  P<0.05
Hemorrhoids          14     35.7    13.3   17     70.6    11.4  P<0.05
Undigested food
in feces             13     38.5    14.0   15      6.7     6.7  P<0.05


---------------------------------------------------------------------
                         Acne in CD

                      Celiacs with acne     C without acne
                      N1    í1  +/- m1      N2    í2  +/- m2
Acne                 16   100.0   0.0     13   0.0     0.0
Irritation or brown
cover of the tongue  16    31.2   12.0    12   0.0     0.0   P<0.05
Gum bleeding after
tooth brushing        15    60.0   13.1    12   16.7    11.2   P<0.05
Undigested food
in feces             15    40.0   13.1    13   00.0    00.0   P<0.01

---------------------------------------------------------------

        Predisposition to allergic reaction in CD
                      Predisposed to        Not predisposed
                      allergy               to allergy
 G1:  21 G2:   8      N1    í1  +/- m1%     N2    í2  +/- m2%
AGE                   21  49.926   2.024     8  38.795   6.709   P<0.05
Frequent or chronic
infections            21   47.6    11.2      8   0.0     0.0     P<0.01
Lip dryness           21   85.7     7.8      8  50.0    18.9     P<0.05
Skin dryness          17   82.4     9.5      8  37.5    18.3     P<0.05
Scaling dermatitis    20   55.0    11.4      8  12.5    12.5     P<0.05
Rough skin of hands   21   85.7     7.8      8  50.0    18.9     P<0.05
Itching               21   81.0     8.8      8  25.0    16.4     P<0.01
Dryness of the mucous
membranes             20   55.0    11.4      8  12.5    12.5     P<0.05
Unpleasant smell
from the mouth        21   38.1    10.9      8   0.0     0.0     P<0.05
Epigastric pains      21   38.1    11.8      8   0.0     0.0     P<0.01
Feeling bloated
after food            21   61.9    10.9      8  12.5    12.5     P<0.05
Gastric pains or
nausea on fasting     21   47.6    11.2      8   0.0     0.0     P<0.01
Unpleasant sensation on the right
below the ribs        20   40.0    11.2      8   0.0     0.0     P<0.05
Intestinal murmur
after food            19   68.4    11.0      8  12.5    12.5     P<0.01
Frequent urges to
defecate              20   50.0    11.5      8   0.0     0.0     P<0.01
Predisposition to
allergic reactions    21  100.0     0.0      8   0.0     0.0
----------------------------------------------------------------------------

           Feeling bloated after food in CD
                      have the feeling     have not the feeling
 G1:  14 G2:  17     N1    í1  +/- m1      N2    í2  +/- m2
Early turning
gray                 14   35.7    13.3     17     5.9    5.9   P<0.05
Lip cyanosis         11   27.3    14.1     16     0.0    0.0   P<0.05
Cyanotic marbled
skin                 12   33.3    14.2     16     0.0    0.0   P<0.01
Itching              14   92.9     7.1     17    41.2   12.3   P<0.01
Epigastric pains     13   61.5    14.0     16    18.8   10.1   P<0.05
Heartburns or belch  14   57.1    13.7     16    12.5    8.5   P<0.01
Feeling bloated
after food           14  100.0     0.0     17     0.0    0.0
Predisposition to
allergic reactions   14  92.9      7.1     15    53.3   13.3   P<0.05

-----------------------------------------------------------------------

           Skin dryness and/or irritation around the eyes and/or above
           the brows in CD
 G1:  13 G2:  18      N1    í1  +/- m1      N2    í2  +/- m2
Nail wall fragility   13   61.5     14.0    16   18.8   10.1   P<0.05
Skin roughness in the
nasolabial region     13   61.5     14.0   14     0.0    0.0   P<0.01
Scaling or roughness
around the eyes or
above the brows       13  100.0      0.0   18     0.0    0.0
Scaling and/or dryness
of the cheeks         13   46.2     14.4   18     5.6    5.6   P<0.01
Changed skin on
the ears              12   41.7     14.9   18     0.0    0.0   P<0.01
Skin dryness          11  100.0      0.0   15    46.7   13.3   P<0.01
Follicular
hyperkeratosis         8   50.0     18.9   12     0.0    0.0   P<0.01
Hand dryness          13   92.3      7.7   18    61.1   11.8   P<0.05
Itching               13   84.6     10.4   18    50.0   12.1   P<0.05
Foot cyanosis         11   27.3     14.1   14    00.0   00.0   P<0.05
Frequent urges to
defecate              13   53.8     14.4   16    18.8   10.1   P<0.05
Visible steatorrhea    13   76.9     12.2   17    41.2   12.3   P<0.05
---------------------------------------------------------------------------



             Scaling and/or dryness  of the cheeks in CD

                      Have                  Not have
 G1:   7 G2:  25      N1    í1  +/- m1      N2    í2  +/- m2
Nail wall fragility   7   71.4    18.4     23    26.1   9.4   P<0.05
Lip cyanosis          6   33.3    21.1     21     4.8   4.8   P<0.05
Skin roughness in the
nasolabial region     7   71.4    18.4     21    14.3   7.8   P<0.01
Scaling or roughness
around the eyes or
above the brows       7   85.7    14.3     24    29.2   9.5   P<0.01
Dryness of the cheeks 7  100.0     0.0     25     0.0   0.0
Scaling and/or dryness
of the nose           7   57.1    20.2     24    12.5   6.9   P<0.01
Changed skin on
the ears              7   42.9    20.2     24     8.3   5.8  P<0.05
Skin dryness          6  100.0     0.0     21    57.1  11.1  P<0.05
Itching               7  100.0     0.0     25    56.0  10.1  P<0.05
Foot cyanosis         7   42.9    20.2     19     0.0   0.0  P<0.01
"Smooth tongue"       7   42.9    20.2     23     8.7   6.0  P<0.05
Dryness of the mucous
membranes             7   85.7    14.3     24    33.3   9.8  P<0.01
Gum bleeding after
tooth brushing        7   71.4    18.4     22    27.3   9.7  P<0.05
Epigastric pains      5  100.0     0.0     24    25.0   9.0  P<0.01
Heartburn or belch    7   71.4    18.4     23    21.7   8.8  P<0.01
Gastric pains or
nausea on fasting     7   85.7    14.3     24    20.8   8.5  P<0.01
Frequent urges to
defecate              7   85.7    14.3     23    17.4   8.1  P<0.01
Undigested food in
feces                 6   50.0    22.4     23    13.0   7.2  P<0.05
Predisposed to
allergy               6  100.0     0.0     23    56.5  10.6  P<0.05
Predisposed to long
lasting fever         6   16.7    16.7     22     0.0   0.0  P<0.05
------------------------------------------------------------------------

                           Fragmented stool in CD

                           Have                Have not
 G1:   7 G2:  20         N1    í1  +/- m1      N2    í2  +/- m2
Fatigue                   6  100.0    0.0      20   45.0    11.4   P<0.01
Skin dryness              7  100.0    0.0      17   58.8    12.3   P<0.05
Cracks on the tongue      7   71.4   18.4      20   25.0     9.9   P<0.05
Dryness of the mucous
membranes                 7   85.7   14.3      19   31.6    11.0   P<0.01
Epigastric pains          7   71.4   18.4      18   22.2    10.1   P<0.05
Intestinal murmur after
food                      5  100.0    0.0      20   35.0    10.9   P<0.01
Frequent urges to
defecate                  7   71.4   18.4      19   21.1     9.6   P<0.01
Fragmented stool          7  100.0    0.0      20   0.0      0.0
Rotten smell of stool     6   83.3   16.7      20   30.0    10.5 P<0.05
Sower  smell of stool     6   66.7   21.1      20    0.0     0.0 P<0.01
-------------------------------------------------------------------------

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