Coeliac disease is an autoimmune disease where the immune system reacts abnormally to gluten.
For people with coeliac disease, even small amounts of gluten can damage the lining of the small intestine (bowel),
which prevents the proper absorption of food nutrients
Diarrhea Fatigue Weight loss
Bloating and gas
Nausea and vomiting
Anaemia mouth ulcers
Duodenal biopsy showing villous atrophy IgA anti-endomysial antibodies
IgA. Transglutaminase antibodies—High sensitivity and specificity
Type 1 Diabetes Pernicious anemia
Primary biliary cirrhosis
Autoimmune thyroid disease Downs syndrome
Gluten-free diet – lifelong elimination of all gluten-containing grains (ie. wheat, rye, triticale, barley) from the diet.
Referral to dietician
Treat specific vitamin/ nutritional deficiencies
Referral to gastroenterologist
First-degree relatives should be screened, and if there are several affected family members second-degree relatives
should also be tested.
Screening for thyroid disease, osteoporosis, and other nutrient deficiencies