Is Autoimmunity More Predominant in Nonceliac Wheat Sensitivity Than Celiac Disease?

We read with great interest the recent paper published by Carroccio et al reporting on the prevalence of autoimmunity (as identified by positivity of antinuclear antibodies [ANA] and associated autoimmune disorders) in nonceliac wheat sensitivity (NCWS) versus celiac disease (CD) and irritable bowel syndrome (IBS).1 More in detail, the results of the study, based on a retrospective and prospective arm, showed that the prevalence of ANA in NCWS was significantly higher than in CD and IBS (46% in NCWS vs 24% in CD and 2% in IBS, retrospectively; and 28% in NCWS vs 7.5% in CD and 6% in IBS, prospectively).

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