Abstract
Punjabis are one of the largest ethnic groups in the world, with at least 124 million members. Their diet is based around wheat cereals and they are now recognised to be at risk of coeliac disease. Indeed, the incidence of coeliac disease amongst Punjabi migrants is three times that of other Europeans, suggesting that in excess of 3 million Punjabi people may be affected by the condition. This review considers the history of coeliac disease and its lack of ready diagnosis in the Punjabi community, including the adverse outcomes as a result. It considers the poor-quality information available to Punjabi patients and tentatively suggests methods of dealing with these issues.
Highlights
[T7h].eTyhneoytendotehdatt:hat: “The cases occurred in men of the poorest class between the ages of 25 and 60 years, whose diet was low in quality lacking proteins fat and vitamins and consisted mostly of whole wheat chapati and pulses” [7]
TThheeccoonnddiittiion wwaassaattttrriibbuuted to a combination of poor diet and possibly infection, and no consideraattiioonn wwaass giivveenn to the more likely explanaattiioonn thatt this was coeliac disease
In the 1980s, low folic acid levels were reported in the Punjabi community in Canada, but again no consideration was given to the possibility of coeliac disease as its cause [10]
Summary
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