Management of celiac disease.
Celiac disease (CD) is an enteropathy-induced immune response that occurs on exposure to toxic gluten in the diet and is reversible once gluten is withdrawn. A gluten-free diet is the preferred treatment for CD and leads to reversal of villous atrophy. Counseling, nutritional support, and follow-up are vital aspects in CD management. The pickup rate of CD has improved with the availability of serologic tests, and this has led to a reduction in morbidity in treated CD cases. Managing CD can potentially prevent or cure some of the associated conditions, such as neurologic complications, nutritional deficiencies, and osteoporosis.
Department of Gastroenterology, Guy's and St Thomas' Hospitals NHS Trust, London, UK. ikram.nasr@gstt.nhs.uk
Ikram
I
Nasr
Daniel A
DA
Leffler
Paul J
PJ
Ciclitira
D002118:Calcium / Q000627:therapeutic use; D002446:Celiac Disease / Q000150:complications / Q000178:diet therapy*; D055050:Diet, Gluten-Free / Q000379:methods*; D006801:Humans; D044342:Malnutrition / Q000188:drug therapy* / Q000209:etiology; D018529:Nutritional Support; D010353:Patient Education as Topic; D014807:Vitamin D / Q000627:therapeutic use
D014807:Vitamin D; D002118:Calcium