Skip to main content

Celiac Disease

Lloyd A Runser, FAAFP, MD, MPH and Maegan M Riggin, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • An immune-mediated reaction to dietary gluten (found in wheat, barley, rye) primarily affecting the small intestine in genetically predisposed individuals. Affected individuals canno...

DIAGNOSIS

HISTORY

  • 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...

TREATMENT

GENERAL MEASURES

  • Gluten-free diet (GFD)--avoid wheat, barley and rye.

    • Rice, corn, and nut flour are safe and palatable substitutes (1)[C].

    • Grains: uncontaminated oats, rice, corn, tapioca, qui...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Consultation with registered dietitian

  • Screen for osteoporosis and treat accordingly.

  • Follow-up with GI at 3 to 6 months for serology and 12 months for repeat biops...

REFERENCES

1
Rubio-Tapia  A, Hill  ID, Kelly  CP, et al; for American College of Gastroenterology. ACG clinical guidelines: diagnosis and management of celiac disease. Am J Gast...

ADDITIONAL READING

  • Husby S, Koletzko S, Korponay-Szabo I, et al. European Society of Paediatric Gastroenterology, Hepatology, and Nutrition guidelines for diagnosing celiac disease 2020. ...

SEE ALSO

Algorithms: Diarrhea, Chronic; Malabsorption Syndrome 

CODES

ICD10

K90.0 Celiac disease 

SNOMED

  • 396331005 Celiac disease (disorder)

  • 61715008 Celiac disease with diffuse intestinal ulceration

CLINICAL PEARLS

  • Screen for celiac disease in patients with nonspecific GI symptoms, presumed IBS, dermatitis herpetiformis, unexplained transaminitis, or unexplained iron deficiency anemia.

  • Test total ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×