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A High-Throughput Multiplexed Screening for Type 1 Diabetes, Celiac Diseases, and COVID-19
Published on: July 5, 2022
[Celiac disease in children--modern diagnostic approach]
1University Children's Hospital, Belgrade. vladar@beotel.yu
Celiac disease is an inherited gluten intolerance causing small intestine inflammation. Diagnosis relies on biopsy and gluten-free diet response, with serology aiding in detecting milder forms.
Area of Science:
- Gastroenterology and Immunology
- Hereditary Disorders
- Autoimmune Diseases
Context:
- Celiac disease is a hereditary gluten intolerance affecting Caucasians (1:100-300).
- It is linked to IgA deficiency, autoimmune diseases, and chromosomal abnormalities.
- Small intestinal inflammation, responsive to a gluten-free diet, is a hallmark.
Purpose:
- To outline diagnostic approaches for celiac disease, including manifest and asymptomatic forms.
- To detail the role of enterobiopsy and gluten challenge in diagnosis.
- To clarify the utility and limitations of serological markers.
Summary:
- Diagnosis of manifest celiac disease involves pathohistological findings and clinical improvement on a gluten-free diet.
- Asymptomatic cases require enterobiopsy to confirm mucosal normalization after dietary changes.
- Gluten challenge is used for definitive diagnosis in specific pediatric cases, with age restrictions.
Impact:
- Accurate diagnosis is crucial for managing celiac disease and preventing complications.
- Understanding diagnostic criteria aids in identifying both symptomatic and asymptomatic individuals.
- Serological tests assist in screening and monitoring dietary adherence.
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