Celiac Diseases
Celiac Diseases
Celiac Diseases
Celiac disease, also known as gluten-sensitive enteropathy, is an autoimmune disorder of the small
intestine that occurs in genetically predisposed individuals. It is triggered by the ingestion of gluten, a
protein found in wheat, rye, barley, and other grains. When a person with celiac disease consumes
gluten, their immune system responds by damaging the lining of the small intestine, making it difficult
for the body to absorb nutrients from food.
The physiology of celiac disease involves a complex interplay between genetic, immunological, and
environmental factors. The condition is strongly associated with certain genetic variations, particularly
those in the human leukocyte antigen (HLA) genes. These genes help regulate the immune system and
are found on chromosome 6. When a person with celiac disease is exposed to gluten, their immune
system produces antibodies that attack the gluten proteins as well as the lining of the small intestine.
This causes inflammation and damage to the epithelial cells that line the intestine, leading to
malabsorption of nutrients, diarrhea, abdominal pain, and other symptoms.
Celiac disease can affect people of all ages, but it is more commonly diagnosed in children and young
adults. It is estimated to affect around 1% of the world's population, although many cases go
undiagnosed. Individuals with a family history of celiac disease are at increased risk of developing the
condition, as are those with certain autoimmune disorders, such as type 1 diabetes and autoimmune
thyroid disease.
The treatment of celiac disease involves complete avoidance of gluten-containing foods. This can be
challenging, as gluten is found in many common foods, including bread, pasta, cereal, and baked goods.
However, there are now many gluten-free alternatives available, including cereals, flours, and breads
made from rice, corn, and other grains. Individuals with celiac disease must also be careful when eating
out, as gluten can be present in sauces, dressings, and other hidden sources. They should work closely
with a registered dietitian to ensure they are getting all the nutrients they need from their diet.
Left untreated, celiac disease can lead to a range of complications, including osteoporosis, anemia, and
intestinal cancer. It is essential that individuals with celiac disease are diagnosed as early as possible so
they can begin treatment and prevent long-term damage.
In conclusion, celiac disease is an autoimmune disorder of the small intestine that affects individuals
who are genetically susceptible to gluten. It is characterized by inflammation and damage to the lining of
the small intestine, leading to malabsorption of nutrients and other digestive symptoms. The most
effective treatment is a strict gluten-free diet, which requires careful attention to food labels and eating
habits. Early diagnosis and treatment are essential to prevent long-term complications.
References:
Ludvigsson JF, Leffler DA, Bai JC, et al. The Oslo definitions for coeliac disease and related terms. Gut.
2013;62(1):43-52.
Rubio-Tapia A, Hill ID, Kelly CP, Calderwood AH, Murray JA. American College of Gastroenterology
Clinical Guidelines: Diagnosis and Management of Celiac Disease. Am J Gastroenterol. 2013;108(5):656-
676.
National Institute of Diabetes and Digestive and Kidney Diseases. Celiac Disease. Accessed April 20,
2021. https://www.niddk.nih.gov/health-information/digestive-diseases/celiac-disease