Coeliac Disease Flashcards

1
Q

Coeliac Disease

A

auto-immune disease that causes antibodies to attack the epithelium in exposure to gluten

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2
Q

RF

A

family history

type 1 diabetes - always test for coeliac when diagnosed with T1

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3
Q

signs

A
diarrhoea
weight loss
steatorrhoea 
fatigue
dermatitis herpetiformis 
weak
failure to thrive
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4
Q

investigations

A

gold standard - duodenal biopsy, will see villous atrophy
total IgA and anti-TTG
IgG incase IgA deficient

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5
Q

management

A

gluten free diet

education

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6
Q

complications

A
anaemia
thyroid disorder
osteoporosis
T cell lymphoma
hypospenism
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7
Q

what vaccine should be offered

A

pneumococcal

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8
Q

what should be done before investigations are ordered

A

introduce a gluten diet

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