Submitted: 22 Jun 2023
Accepted: 29 Oct 2023
ePublished: 31 Dec 2023
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Int J Basic Sci Med. 2023;8: 145-150.
doi: 10.34172/ijbsm.38628
  Abstract View: 31
  PDF Download: 18

Original Article

Evaluation of Severity, Prevalence, and Complications of COVID-19 among Celiac Patients over the Age of 20 in Sistan Region, Iran

Iraj Shahramiyan 1 ORCID logo, Mahdie Arefi 1* ORCID logo, Mahdi Afshari 1 ORCID logo, Masoud Tahani 1 ORCID logo, Anita Jahanpanah 2 ORCID logo, Fateme Parooie 1 ORCID logo, Mojtaba Delaram Nasab 1 ORCID logo, Zahra Shahramian 1

1 Pediatric Gastroenterology and Hepatology Research Center, Zabol University of Medical Science, Zabol, Iran
2 Student Research Committee, Faculty of Pharmacy, Zabol University of Medical Sciences, Zabol, Iran
*Corresponding Author: Mahdie Arefi, Email: Mahdieyh.Arefi@gmail.com


Introduction: COVID-19 is an epidemic viral infection that has especially caused great concern for those with chronic diseases. Few studies have been conducted in Asian countries on the prevalence and severity of COVID-19 complications among celiac patients. This study aimed to determine the frequency, severity, and prevalence of COVID-19 complications among celiac patients in Sistan region.

Methods: In this descriptive cross-sectional study, a total of 200 patients including 40 celiac patients and 160 matched controls were studied from September to October 2021. All celiac patients in our registry were contacted and a detailed questionnaire was administered to collect required data. In addition, polymerase chain reaction (PCR) was performed on patients to detect COVID-19. Recorded variables were compared between celiac patients and controls using t-test and Chi-square test. Statistical analysis was carried out using Stata 14 software.

Results: Out of 200 patients, 25% of celiac patients and 18.13% of controls were infected with COVID-19. Additionally, 60% of COVID-19 infected celiac patients had severe gastrointestinal symptoms and none were hospitalized, while 31% of COVID-19 infected controls had gastrointestinal symptoms and 3.45% were hospitalized. The frequency of Marsh score above 2 was significantly lower among COVID-19 infected celiac patients compared with uninfected celiac patients.

Conclusion: The presence of celiac disease posed no additional risk for COVID-19 infection in terms of prevalence and frequency. However, in comparison to the general population, celiac patients experienced more severe gastrointestinal complications when infected with COVID-19.

Keywords: Celiac disease, COVID-19, Epidemiology, Gastrointestinal symptoms, Pandemic

Please cite this article as follows: Shahramian I, Arefi M, Afshari M, Tahani M, Jahanpanah A, Parooie F, et al. Evaluation of severity, prevalence, and complications of COVID-19 among celiac patients over the age of 20 in Sistan region, Iran. Int J Basic Sci Med. 2023;8(4):145-150. doi:10.34172/ijbsm.38628.
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