Malnutrition Flashcards
What is coeliac disease
Intolerance to gluten
What is the pathology behind coeliac disease
Antibodies are made in response to gluten that attack the epithelial cells of the intestine
What antibodies are involved in coeliac disease
Anti-tissue transglutamate (anti-TTG) and anti-endomysial (anti-EMA
Where is most of the inflammation found in coeliac disease
Small bowel, jejunum
What is dermatitis herpetiformis
Rash on belly, coeliac related
Failure to thrive in young children, diarrhoea, fatigue, mouth ulcers and weight loss indicate what disease
Coeliac
What is shown on an endoscopy of a patient with coeliac disease
Villous atrophy, crypt hypertrophy
Villous atrophy causes what
Malabsorption
Tx for coeliac disease
Life long Gluten free diet
Gastrointestinal symptoms for coeliac
Bloating, flatulance, steatorrhea, vomiting and constipation
General features of coeliac disease (4)
Delayed period, clubbing, short stature, oedema
Extra intestinal symptoms for coeliac (7)
Peripheral neuropathy, night blindness (vit A def.), hypertransaminasemia, thrombocytosis, osteomalacia/osteoporosis, infertility, poor education
Definite associations for coeliac (7)
Hyposplenism, dermatitis herpetiformis (extensor surfaces), IgA deficiency, autoimmune thyroid disease, sjorgrens syndrome, type 1 diabetes, microscopic colitis
IgA deficiency causes increased risk of?
Chest infections
what chromosomal abnormality is related to coeliac disease
Downs