Infertility and miscarriage : Malabsorption of calcium, vitamin D and other vitamins, minerals
contribute to reproductive issues.
Cancer : T cell lymphoma
Neurological manifestations : ranges from neuropathy and ataxia to depression and anxiety
Dermatitis herpetiformis
Normal Physiology
Signs and symptoms & Clinical findings
Steatorrhea
Evidence of weight loss, including muscle wasting or loose skin folds
Failure to thrive in infants and children
Pallor due to anemia (often combined anemias)
Findings related to water-soluble and fat-soluble vitamin deficiencies
Abdominal examination shows a protuberant and tympanic abdomen due to distention of the
intestinal loops with fluids and gas. Ascites occasionally can be detected in patients with severe
hypoproteinemia.
Orthostatic hypotension
Ecchymoses
Peripheral edema
Hyperkeratosis or dermatitis herpetiformis
Cheilosis and glossitis
Evidence of peripheral neuropathy
Chvostek sign or Trousseau sign
Investigations and interpretations
look for antibodies that the body makes in response to eating gluten
Total immunoglobulin A (IgA)
IgA Tissue transglutaminase antibody (shortened to tTG)
Immunoglobulin G (IgG) EMA
IgG deamidated gliadin peptide (DGP)
IgG tTG
Must be consuming gluten
Biopsy
What is it?
Celiac disease is a serious autoimmune
disorder that can occur in genetically
predisposed people where the ingestion
of gluten leads to damage in the small
intestine.