CELIAC DISEASE Flashcards
(21 cards)
other names for celiac disease
- Gluten-induced enteropathy
- Gluten-sensitive enteropathy
- Celiac sprue
a digestive & autoimmune disorder that results in damage to the lining of the small intestine when foods with gluten are eaten
celiac disease
where can you commonly find gluten
grains: wheat, rye, barley, oats
celiac - Damage to ___ makes it hard for the body to absorb
nutrients, especially fat, calcium, iron, & folate.
intestines
what nutrients are hard to absorb with celiac disease
fat, calcium, iron, folate
after the autoimmune attack by ingesting gluten = ??
inflammation of intestinal epithelium
inflammation of intestinal epithelium = ??
damage to small bowel leading to MALABSORPTION
clinical manifestations of celiac
impaired fat absorption
impaired nutrient absorption
behavioral / neurological changes
excessive amounts of fat in your poop
Steatorrhea
- Acute severe episodes of profuse watery diarrhea
and vomiting - Rare, life-threatening manifestation of celiac disease
celiac crisis
celiac crisis maybe precipitated by
infections (GI)
prolonged F&E depletion
emotional disturbance
diagnostic evaluation:
Villous ___ with ___ of
the crypts & abnormal epithelium in a child who is eating a diet with gluten
atrophy, hyperplasia
diagnostic evaluation:
Presence of ___ &
___ immunoglobulin G (IgG) & IgA antibodies & their disappearance when gluten is removed from the diet
antigliadin & antiendomysial
diagnostic exams
serologic
lactose tolerance test
endoscopy with biopsy
what do you check during serologic tests
EMA (IgA anti-endomysial
antibodies
* AGA (IgA anti-gliadin
antibodies)
* DGP (Deamidated gliadin
peptide antibody)
* tTGA (IgA anti-tissue
transglutaminase
true or false - for people with celiac disease, most severe symptoms
occur in early childhood & again in adult life
true
Strict dietary avoidance of gluten may minimize the risk of
developing ___
lymphoma
therapeutic mgmt
gluten free diet
common gluten free foods
- fresh fruit and veg
- eggs, and most dairy products
- meat, fish, poultry
- corn, potatoes, beans, nuts
safest way to eat gluten free diet is to eat ___
unprocessed food
foods that are unprocessed
& unrefined, or processed & refined as little as possible, before being consumed
whole foods
