Celiac Short Case

Question 1

What are four things that can cause celiac disease?

Answer 1

Wheat, barley, rye, oats

*NOTE: buckwheat is gluten free

Question 2

What blood disorder can celiac lead to?

Answer 2

IDA

Question 3

What skin condition is associated with celiac disease?

Answer 3

dermatitis herpetiformis (grouped pruritis papules and vesicles)

Question 4

What are common sites of herpetiformis lesions from celiac?

Answer 4

elbows, dorsal forearms, knees, scalp, back, buttocks

Question 5

In a patient with celiac there is an increase in what other conditions?

Answer 5

DM type 1
Down syndrome
Liver disease
Menstrual & reproductive issues

Question 6

If there is a low probability the pt has celiac, what testing should be done?

Answer 6

Serologic testing (tTG) IgA

Question 7

What is the GS way to diagnose celiac?

Answer 7

small bowel bx

Question 8

If Serologic testing (tTG) IgA +, what is the next step?

Answer 8

small bowel bx

Question 9

Patients with celiac should also get what vaccine and should be tested for what other condition?

Answer 9

Pneumococcal vaccine and osteoporosis with a DEXA scan