Coeliac Disease Flashcards
1
Q
How does coeliac disease present ?
A
Varied presentation
May include
- loose stools
- bloating
- wind
- abdominal cramps
- weight loss
- dermatitis herpetiformis
Alternatively may find no symptoms and it can be found incidentally when investigating iron deficiency anaemia or due to a family history
2
Q
What are the risks of coeliac disease is left untreated?
A
- small bowel lymphoma
- small bowel cancer
- osteoporosis
- neurological e.g gluten ataxia and neuropathy
3
Q
How is coeliac disease diagnosed?
A
Ensure patient eats properly until diagnosis
- tTG (tissue transglutaminase) is raises in most cases of coeliac but isn’t diagnostic in adult patients
- OGD and duodenal biopsies is the diagnostic test, and histologicallt you will see villous atrophy and intra-epithelial lymphocytosis
4
Q
How is coeliac disease treated?
A
Dieticians are key in a lifelong gluten free diet
gluten is found in barley, rye, oats and wheat, although some patients are able to reintroduce oats into their diet.
