Celiac disease history and symptoms: Difference between revisions
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Celiac disease can present with classical symptoms such as diarrhea, steatorrhea, weight loss, and growth failure or non-classical symptoms involving outside GI tract. The classic presentation of celiac disease is more common in young children, consisting primarily of gastrointestinal symptoms. In adults, the presentation of celiac disease is often more subtle and can be mistaken for irritable bowel syndrome. Some patients lack any evident gastrointestinal symptoms and instead present with nutritional deficiencies (most commonly iron deficiency) or extra-intestinal symptoms, or are asymptomatic. | Celiac disease can present with classical symptoms such as diarrhea, steatorrhea, weight loss, and growth failure or non-classical symptoms involving outside GI tract. The classic presentation of celiac disease is more common in young children, consisting primarily of gastrointestinal symptoms. In adults, the presentation of celiac disease is often more subtle and can be mistaken for irritable bowel syndrome. Some patients lack any evident gastrointestinal symptoms and instead present with nutritional deficiencies (most commonly iron deficiency) or extra-intestinal symptoms, or are asymptomatic. | ||
The following table summarizes the symptoms of celiac disease in adults. | |||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History
A detailed and thorough history from the patient is necessary. It provides insight into the cause, precipitating factors and associated comorbid conditions. Specific areas of focus when obtaining a history from the patient with celiac disease include:[1]
- Unexplained gastrointestinal symptoms
- Chronic diarrhea
- Symptoms of fatigue and tiredness (iron deficiency anemia)
- Skin rash consistent with dermatitis herpetiformis
- Family history of celiac disease and inflammatory bowel disease
Symptoms
Celiac disease can present with classical symptoms such as diarrhea, steatorrhea, weight loss, and growth failure or non-classical symptoms involving outside GI tract. The classic presentation of celiac disease is more common in young children, consisting primarily of gastrointestinal symptoms. In adults, the presentation of celiac disease is often more subtle and can be mistaken for irritable bowel syndrome. Some patients lack any evident gastrointestinal symptoms and instead present with nutritional deficiencies (most commonly iron deficiency) or extra-intestinal symptoms, or are asymptomatic.
The following table summarizes the symptoms of celiac disease in adults.
| Symtpms | ||||||||
|---|---|---|---|---|---|---|---|---|
| Intestinal | Extra-intestinal | |||||||
| Hematologic | Dermatologic | Neurologic | Musculoskeletal | Hepatic | Renal | Cardiac | ||
| Common
Symptoms |
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- | - | - |
| Less common
symptoms |
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References
- ↑ Green PH, Cellier C (2007). "Celiac disease". N. Engl. J. Med. 357 (17): 1731–43. doi:10.1056/NEJMra071600. PMID 17960014.