Celiac Disease

Etiology

  • Reaction to gluten

Risk Factors

  • Female > male
  • Age onset childhood to adult
  • Travels w/autoimmune dz→ DM1, thyroid d/o, Sjogrens, IgA nephropathy, other

Symptoms

  • Gas
  • Diarrhea
  • Joint pain
  • Chronic abd bloating
  • Wt loss/inability to gain weight
  • Fatigue from anemia
  • Easy fractures from osteoporosis
  • Puritic skin erruption→ dermatitis herpetiformis
  • Painful neuropathy

Physical Exam Findings

  • Low bmi
  • Papulo-vessicular erruption on arms, scalp, knees, back, buttocks
  • Impaired sensation from peripheral neuropathy