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Case Details

Celiac Disease

  • Author: Dr. Hasan Altarrah
  • Published Date: 09/05/2026
  • Last Modified Date:
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  • Reviews: ( 0 Reviews )
  • Category :Internal Medicine
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Additional Information:

  • CC: 6 weeks diarrhea
  • Investigations: Upper endoscopy

Description

Complications
  • Osteoporosis
  • T-cell lymphoma
  • Vitamins ADEK deficiency
  • Jejunal ulceration
  • Adenocarcinoma of small bowel
What Will You Do?
  • Gluten free diet
  • Avoid barley, rye, oats and wheat (BROW)
  • Refer to Dietician
  • Refer to GI specialist
  • Can eat rice, corn, maize, buckwheat, potato and soybean
  • Do BMD scan
  • Check and treat for iron, B12, folate and vitamin D
  • Refer to Psych if coexist depression or anxiety
  • Vaccines like flu, pneumococcal, meningococcal and Haemophilus due to hyposplenism
Differential Diagnosis
  • Lactose intolerance
  • Chronic pancreatitis
  • Inflammatory bowel disease
  • Microscopic colitis
  • Irritable bowel disease
  • Bacterial overgrowth

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