Failure to Respond to Hepatitis B Vaccine in Children With Celiac Disease
Abstract
Objectives To determine whether children with celiac disease (CD) fail to show a response to hepatitis B virus (HBV) vaccine more frequently than children without CD. Patients and methods This was a prospective study that compared the response to HBV, tetanus, rubella, and Haemophilus influenzae type b (Hib) vaccines between children with CD and age- and sex-matched control subjects. Results The study population included 26 patients with CD and 18 age- and sex-matched controls. All had received the full complement of childhood vaccinations. A significantly higher proportion of subjects in the CD group (14 of 26) failed to respond to HBV vaccine compared with controls (2 of 18; 53.9% vs 11.1%; P Conclusions More than 50% of children with CD do not show a response to standard vaccination regimens for HBV. Given the large number of children with CD throughout the world, this observation suggests that there is a large HBV-susceptible population despite widespread vaccination. Current immunization strategies may need to be reassessed to protect this population and achieve the goal of universal protection.
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Several studies detected no differences between coeliac disease children and controls in the immune response to poliomyelitis, diphtheria, mumps, pertussis, rubella, tetanus, haemophilus influenzae type b, and measles.
“Several studies detected no differences between CD children and controls in the immune response to poliomyelitis, diphtheria, mumps, and pertussis (45), rubella, tetanus (45, 46), haemophilus influenzae type b (46) and measles (45, 47).”
From ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents With Celiac Disease. (2022) · cites this paper as [46]
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Commentary on: Are hepatitis B virus and celiac disease linked?
Prasad, K. K., Sharma, A. K., Nain, C. K., & Singh, K. (2011) · Hepatitis Monthly
Celiac Disease and Abnormal Pubertal Development
Webster, T., & Pettei, M. J. (2016) · Springer eBooks · doi:10.1007/978-3-319-27225-2_10
Self-citationEdiger, T. R., & Hill, I. D. (2016) · PEDIATRICS · doi:10.1542/peds.2016-1311
Does Celiac Disease Affect Antibody Production Against Hepatitis B in Children?
Dastmalchi, F., Najafi, M., Rahmani, P., Eftekhari, K., Rohani, P., & Alimadadi, H. (2020) · Iranian Journal of Pediatrics · doi:10.5812/ijp.102142
Yanny, B., Grewal, J., & Vaswani, V. K. (2020) · Springer eBooks · doi:10.1007/978-3-030-56722-4_3
Liver and celiac disease. Review
Gubergrits, N. B., Byelyayeva, N. V., Tsys, O. V., Gomozova, O. A., & Suprun, O. O. (2023) · Modern Gastroenterology · doi:10.30978/mg-2023-5-78
Hepatitis B and Celiac Disease: a cause for concern?
Narciso-Schiavon, J. L., & Schiavon, L. D. L. (2023) · Revista Colombiana de Gastroenterología · doi:10.22516/25007440.1016
- Authors
- Park, S., Markowitz, J., Pettei, M., Weinstein, T., Sison, C. P., Swiss, S. R., & Levine, J.
- Affiliations
- Northwell Health (US)
- Corresponding author
- Park, Seung‐Dae
- Markowitz, James
- Pettei, Michael
- Weinstein, Toba
- Levine, Jeremiah
- ORCID
- Levine, Jeremiah
- Venue
- Journal of Pediatric Gastroenterology and Nutrition
- Publisher
- Wiley
- Published
- 2007-04
- Volume
- 44
- Issue
- 4
- Pages
- 431-435
- ISSN
- 0277-2116 (ISSN-L)
- 1536-4801
- OpenAlex
- W2056449586
- Cited by
- 84
- References
- 22
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 4 · 2018: 2 · 2017: 6 · 2016: 5 · 2015: 6 · 2014: 4 · 2013: 3 · 2012: 8
- FWCI
- 4.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Gastroenterology and Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Health Sciences › Medicine › Epidemiology › Hepatitis B Virus Studies
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Keywords
- celiac disease, hepatitis B vaccine, childhood immunization, tetanus vaccine, rubella vaccine, Haemophilus influenzae type b vaccine, hepatitis B surface antigen, antibody response, immunocompromised children
- MeSH terms
- Adolescent, Celiac Disease, Child, Child, Preschool, Female, Hepatitis B Surface Antigens, Humans, Male, Polysaccharides, Bacterial, Prospective Studies, Rubella Vaccine, Tetanus Toxin, Bacterial Capsules, Hepatitis B Vaccines, Haemophilus Vaccines
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