An update on diagnosis of coeliac disease

Celiac disease (CD) is a multisystem autoimmune condition induced by gluten in genetically susceptible individuals. The classical clinical presentation is the chronic diarrhea syndrome although there are atypical and silent forms, which may lead to diagnostic problems. Diagnosis is based on the dete...

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Detalles Bibliográficos
Autor: Real Delor, Raúl Emilio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Perú
Institución:Universidad Nacional Mayor de San Marcos
Repositorio:Revistas - Universidad Nacional Mayor de San Marcos
Idioma:español
OAI Identifier:oai:revistasinvestigacion.unmsm.edu.pe:article/12657
Acceso en línea:https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/12657
Access Level:acceso abierto
Palabra clave:Celiac Disease
IgA Tissue Transglutaminase Antibody
Upper Gastrointestinal Endoscopy
Major Histocompatibility Antigen
Gluten.
Enfermedad Celiaca
Anticuerpo IgA Antitransglutaminasa Tisular
Endoscopia Digestiva Alta
Antígeno Mayor de Histocompatibilidad
Descripción
Sumario:Celiac disease (CD) is a multisystem autoimmune condition induced by gluten in genetically susceptible individuals. The classical clinical presentation is the chronic diarrhea syndrome although there are atypical and silent forms, which may lead to diagnostic problems. Diagnosis is based on the detection of various autoantibodies, especially against tissue transglutaminase IgA, although the gold standard is the pathological examination of duodenal biopsies obtained by upper endoscopy. The absence of the HLA gene is a test used to rule CD. The response to gluten-free diet confirms this condition, which if not promptly diagnosed and properly treated can lead to serious complications.