title: [Adult celiac disease: endocrinological and nutritional issues].
abstract: Celiac disease is an autoimmune enterophaty induced by the ingestion of gluten in genetically susceptible individuals. Although historically it was thought that it was an infrequent pediatric disease, now it is know that its prevalence is close to 1% in the general population. It is even higher between patients with some endocrine disorders and nutritional deficits. The use of antitransglutaminase and antiendomisium antibodies and the endoscopical duodenal biopsy are the cornerstones for its diagnosis. The introduction of a gluten-free diet will achieve the normalization of the intestinal mucosa. It will avoid the risk of long term complications and an it will achieve an improvement in quality of life. Medical and dietitian long term follow-up will be important to improve the compliance to the treatment.
authors.affiliation: Servicio de Endocrinología y Nutrición, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain. peteiromedicina@hotmail.com
authors.forename: D
authors.initials: D
authors.lastname: Peteiro-González
authors.forename: M A
authors.initials: MA
authors.lastname: Martínez-Olmos
authors.forename: R
authors.initials: R
authors.lastname: Peinó
authors.forename: A Ma
authors.initials: AM
authors.lastname: Prieto-Tenreiro
authors.forename: R
authors.initials: R
authors.lastname: Villar-Taibo
authors.forename: P
authors.initials: P
authors.lastname: Andujar-Plata
authors.forename: C
authors.initials: C
authors.lastname: Guillín-Amarelle
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002446:Celiac Disease / Q000150:complications* / Q000178:diet therapy / Q000628:therapy*; D055050:Diet, Gluten-Free; D004700:Endocrine System Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D004717:Endometrium / Q000276:immunology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011503:Transglutaminases / Q000276:immunology / Q000378:metabolism; D055815:Young Adult
chemical_list: D011503:Transglutaminases