Gluten-sensitive enteropathy–associated conditions

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Conditions associated with gluten-sensitive enteropathy



Gluten-sensitive enteropathy–associated conditions refer to a variety of medical conditions that are often found in conjunction with gluten-sensitive enteropathy, commonly known as celiac disease. These conditions can affect multiple organ systems and may complicate the clinical presentation and management of celiac disease.

Overview[edit | edit source]

Gluten-sensitive enteropathy is an autoimmune disorder triggered by the ingestion of gluten, a protein found in wheat, barley, and rye. The condition primarily affects the small intestine, leading to malabsorption and a range of gastrointestinal and extraintestinal symptoms. However, individuals with celiac disease are also at increased risk for several associated conditions, which can complicate diagnosis and treatment.

Gastrointestinal Conditions[edit | edit source]

Peptic Stricture[edit | edit source]

Peptic stricture

Peptic strictures are a narrowing of the esophagus due to chronic inflammation and scarring. In patients with celiac disease, peptic strictures can occur as a result of chronic acid reflux and esophagitis, which may be exacerbated by malabsorption and nutritional deficiencies.

Lactose Intolerance[edit | edit source]

Lactose intolerance is common in individuals with celiac disease due to damage to the intestinal villi, which reduces the production of lactase, the enzyme necessary for digesting lactose. This condition often improves with a gluten-free diet as the intestinal lining heals.

Dermatological Conditions[edit | edit source]

Dermatitis Herpetiformis[edit | edit source]

Dermatitis herpetiformis is a chronic skin condition characterized by intensely itchy and blistering skin. It is considered a cutaneous manifestation of celiac disease and responds well to a gluten-free diet.

Neurological Conditions[edit | edit source]

Gluten Ataxia[edit | edit source]

Gluten ataxia is a form of ataxia associated with celiac disease, characterized by a loss of coordination and balance. It is believed to result from an autoimmune response to gluten that affects the cerebellum.

Endocrine Conditions[edit | edit source]

Type 1 Diabetes[edit | edit source]

There is a well-documented association between celiac disease and type 1 diabetes, both of which are autoimmune conditions. Individuals with type 1 diabetes are at increased risk for developing celiac disease and vice versa.

Hematological Conditions[edit | edit source]

Iron-Deficiency Anemia[edit | edit source]

Iron-deficiency anemia is a common finding in celiac disease due to malabsorption of iron in the damaged small intestine. It often improves with adherence to a gluten-free diet.

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Contributors: Prab R. Tumpati, MD