A non-IgE mediated immune reaction to gliadin, a protein component of dietary gluten (found in wheat, barley, rye, and other grains) primarily affecting the small intestine in geneti...
Diarrhea and cramping are the most common GI symptoms.
Other symptoms include: Steatorrhea (fatty stools); abdominal pain or distension; nausea, vomiting, flatulence; weight loss, weak...
Gluten-free diet (GFD)—avoid wheat, barley, rye, and other grains that contain gluten.
Rice, corn, and nut flour are safe and palatable substitutes (1).
Grains: uncontaminate...
Consultation with a registered dietitian
Screen for osteoporosis and treat accordingly.
Follow-up with GI at 3 to 6 months for serology and 12 months for repeat bio...
396331005 Celiac disease (disorder)
61715008 Celiac disease with diffuse intestinal ulceration
Screen for celiac disease in patients with nonspecific GI symptoms, presumed IBS, dermatitis herpetiformis, unexplained transaminitis, or unexplained iron deficiency anemia.
Test total ...
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<bold>Figure 37.3</bold> A child with celiac disease. Notice the protruding abdomen and wasted buttocks.
Villous atrophy with a flat surface, elongation of the crypts, and chronic inflammation of the lamina propria are characteristic of long-standing disease.
Villous atrophy with a flat surface, elongation of the crypts, and chronic inflammation of the lamina propria are characteristic of long-s...
A higher-power view shows damaged, cuboidal surface epithelium with numerous intraepithelial lymphocytes. The lamina propria is heavily infiltrated by plasma cells.
A higher-power view shows damaged, cuboidal surface epithelium with numerous intraepithelial lymphocytes. The lamina propria is heavily in...