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Celiac Disease

Also Known As: Celiac Sprue, Gluten-Sensitive Enteropathy, Coeliac Disease (UK spelling)
System: Digestive System
Autoantibodies:
  • tTG-IgA (tissue transglutaminase) – most common screening test

  • EMA-IgA (anti-endomysial antibodies)

  • DGP antibodies (deamidated gliadin peptides – sometimes used in children)

Primary Organ or Body Part Affected: Small intestine
Acceptance as Autoimmune: Confirmed
Celiac Disease

What is Celiac Disease?

Celiac disease is an autoimmune condition where eating foods with gluten—a protein found in wheat, barley, and rye—causes the immune system to attack the lining of the small intestine. This damages the gut and makes it harder to absorb nutrients from food.

It’s not a food allergy or a fad diet—it’s a serious, lifelong condition that requires a strict gluten-free diet to stay healthy.

What are the signs and symptoms of Celiac Disease?

Digestive symptoms (especially in children):

  • Diarrhea, constipation, or oily stools

  • Bloating and gas

  • Stomach pain or cramping

  • Nausea or vomiting

Other symptoms (more common in adults):

  • Fatigue

  • Iron-deficiency anemia

  • Weight loss or poor growth in children

  • Bone or joint pain

  • Headaches or brain fog

  • Itchy skin rash (dermatitis herpetiformis)

  • Infertility or menstrual irregularities

  • Depression or anxiety

Some people have no obvious symptoms, but still suffer internal damage.

What are the causes of Celiac Disease?

Celiac disease is caused by a mix of genetics and environment.

  • It happens when people with certain genes (HLA-DQ2 or DQ8) eat gluten.

  • The immune system reacts to gluten by damaging the villi, the tiny finger-like projections in the small intestine that absorb nutrients.

It can be triggered at any age, often after stress, surgery, pregnancy, or infection.

Diagnosis

Diagnosis usually includes:

  • Blood tests to check for specific antibodies (like tTG-IgA)

  • Endoscopy and biopsy of the small intestine to look for damage

  • Important: Don’t stop eating gluten before testing, or the results may not be accurate

Treatment

There is no cure, but the treatment is simple:

  • Strict, lifelong gluten-free diet (no wheat, barley, or rye)

  • This allows the intestine to heal and symptoms to improve

  • Avoiding cross-contact is important (even small crumbs can cause damage)

  • Some people may also need supplements for iron, calcium, vitamin D, or B12

Prognosis

  • With a gluten-free diet, most people feel better within weeks to months

  • The intestinal lining usually heals over time

  • Without treatment, celiac can lead to serious complications like:

    • Malnutrition

    • Osteoporosis

    • Infertility

    • Increased risk of some cancers (e.g., intestinal lymphoma)

Prevalence

  • Affects about 1 in 100 people worldwide

  • Many remain undiagnosed

  • More common in people with other autoimmune diseases (like Type 1 diabetes, Hashimoto’s) or family history

Citations

  1. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). (2023). Celiac Disease.
    https://www.niddk.nih.gov/health-information/digestive-diseases/celiac-disease

  2. Mayo Clinic. (2023). Celiac Disease.
    https://www.mayoclinic.org/diseases-conditions/celiac-disease

  3. Lebwohl, B., Sanders, D. S., & Green, P. H. (2018). Coeliac disease. The Lancet, 391(10115), 70–81.
    https://doi.org/10.1016/S0140-6736(17)31796-8

  4. Celiac Disease Foundation. (2023). Symptoms, Diagnosis & Treatment.
    https://celiac.org

  5. Rubio-Tapia, A., et al. (2012). The prevalence of celiac disease in the United States. American Journal of Gastroenterology, 107(10), 1538–1544.
    https://doi.org/10.1038/ajg.2012.219

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