Coeliac disease: the great imitator

@article{Duggan2004CoeliacDT,
  title={Coeliac disease: the great imitator},
  author={John Michael Duggan},
  journal={Medical Journal of Australia},
  year={2004},
  volume={180}
}
  • J. Duggan
  • Published 1 May 2004
  • Medicine
  • Medical Journal of Australia
Coeliac disease (CD) is caused by a complex immunological response provoked by grain protein in susceptible people. The majority of people with CD are symptom‐free adults; the remainder are prone to a bewildering variety of signs and symptoms, ranging from infertility to type 1 diabetes. Many patients with undiagnosed CD spend years seeking help for complaints such as chronic tiredness or mild abdominal symptoms. In primary care, an appropriate target group to test for CD is people with anaemia… 
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References

SHOWING 1-10 OF 43 REFERENCES
Celiac disease
TLDR
Diagnosis requires endoscopy with jejunal biopsy and tissue-transglutaminase antibodies are important to confirm the diagnosis since there are other diseases which can mimic celiac disease.
Coeliac disease
TLDR
The Marsh classification of intestinal coeliac lesions, as modified by Oberhuber et al, is used by most pathologists to evaluate the intestinal lesions of patients with CD, both for diagnosis and to assess the regression of the lesions after a gluten free diet.
The arthritis of coeliac disease: prevalence and pattern in 200 adult patients.
TLDR
The data suggest that arthritis is much more common than previous reports have indicated, particularly in patients receiving an appropriate dietary regimen, and support the need for combined gastrointestinal and rheumatological follow-up in coeliac patients.
Does cryptic gluten sensitivity play a part in neurological illness?
TLDR
The data suggest that gluten sensitivity is common in patients with neurological disease of unknown cause and may have aetiological significance.
Non‐malignant complications of coeliac disease
  • G. Holmes
  • Medicine
    Acta paediatrica (Oslo, Norway : 1992). Supplement
  • 1996
TLDR
It is pointed out that a large population of unidentified or neglected coeliac patients is at potential risk and the challenge is to identify this group by case‐finding or screening programmes in selected populations, so they can be offered a gluten‐free diet and other treatments which will not only improve general health but may also prevent or reduce the development of health problems.
Reflux oesophagitis in adult coeliac disease: beneficial effect of a gluten free diet
TLDR
That a gluten free diet significantly decreased the relapse rate of GORD symptoms suggests that coeliac disease may represent a risk factor for development of reflux oesophagitis.
Symptoms and haematologic features in consecutive adult coeliac patients.
TLDR
The percentage of patients presenting with anaemia and other haematologic signs of malabsorption was one of the lowest reported ever and emphasizes the highly variable and subtle clinical expression of adult coeliac disease.
Malignancy in coeliac disease--effect of a gluten free diet.
TLDR
The results indicate that for coeliac patients who have taken a GFD for five years or more the risk of developing cancer over all sites is not increased when compared with the general population, and give further support for advising all patients to adhere to a strict G FD for life.
Down's syndrome is strongly associated with coeliac disease.
TLDR
The prevalence of coeliac disease in these 51 patients with Down's syndrome is at least two and could be as many as seven and in this community the prevalence is increased more than 100-fold (x135-473).
Celiac disease and alopecia areata: report of a new association.
TLDR
The results show that alopecia areata may constitute the only clinical manifestation of celiac disease and that the association between these two conditions is a real one because the observed frequency of association is much greater than can be expected by chance.
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