Coeliac disease Flashcards

1
Q

What is coeliac disease?

A

A lifelong autoimmune disease caused by a reaction to gluten

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2
Q

How common is coeliac disease?

A

1 in 100 people have the condition

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3
Q

What are the symptoms of coeliac disease?

A

Symptoms include bloating, diarrhoea, nausea, wind, constipation, tiredness, sudden or unexpected weight loss (but not in all cases), hair loss and anaemia

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4
Q

What is the treatment of coeliac disease?

A

Once diagnosed, the only treatment for coeliac disease is a gluten-free diet.

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5
Q

What is dermatitis herpetiformis?

A

Dermatitis herpetiformis (DH) is the skin manifestation of coeliac disease which occurs as a rash that commonly occurs on the elbows, knees, shoulders, buttocks and face, with red, raised patches often with blisters.

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6
Q

How common is dermatitis herpetiformis?

A

It affects around one in 3,300 people.

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7
Q

What food am I not allowed to eat?

A

Wheat, rye and barley, so foods containing these should not be eaten. Some people with coeliac disease may also be sensitive to oats.

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8
Q

Do you have any tips on how to avoid cross-contaminating?

A

keep cooking utensils separate during food preparation and cooking
do not fry food in the same oil that has previously been used to cook foods which contain gluten
use a clean grill, separate toaster or toaster bags to make gluten-free toast
use separate breadboards and wash surfaces thoroughly
use separate condiments like jam, butter, mustard and mayonnaise.

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9
Q

How long will it take for my symptoms to settle down?

A

Many people feel better within a few days and usually symptoms like nausea, diarrhoea and bloating clear up within a few weeks.

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10
Q

When is dermatitis herpetiformis most often diagnosed?

A

Most commonly diagnosed in those aged between 50 and 69 years.

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11
Q

If I have coeliac how likely is it that my children will get it?

A

Coeliac disease does run in families but not in a predictable way. Around one in ten close relatives of people with coeliac disease (for example, father, mother, son, daughter) will be at risk of coeliac disease

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12
Q

What is the most common age that it typically presents?

A

Peaks in infancy and 50-60 years

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13
Q

Is there a family link?

A

There is a 10% precedence in first degree relatives and a 30% relative risk for siblings

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14
Q

What is it okay for me to eat?

A

Rice, maize, soya, potatoes, oats and sugar are okay

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15
Q

What foods are prescribable?

A

Gluten free biscuits, flour, bread and pasta

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16
Q

What are the complications of coeliac disease?

A

Anaemia, lactose intolerance, increased risk of cancer, myopathies, neuropathies, hyposplenism, osteoporosis, GI T cell lymphoma