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Celiac disease in the elderly.

Shadi Rashtak1, Joseph A Murray

  • 1Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic College of Medicine, 200 First Street, SW, Rochester, MN 55905, USA.

Gastroenterology Clinics of North America
|August 25, 2009
PubMed
Summary
This summary is machine-generated.

Celiac disease affects adults, not just children, with many diagnosed over 50. This review covers elderly celiac disease prevalence, diagnosis, and management.

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Area of Science:

  • Gastroenterology
  • Geriatrics
  • Immunology

Background:

  • Celiac disease is increasingly recognized in adults, challenging the perception of it being a childhood-only condition.
  • Epidemiological data indicate a significant number of celiac disease diagnoses occur in individuals over 50 years old.
  • Studies show a median age of diagnosis near 50, with a notable proportion of new cases in those over 65.

Purpose of the Study:

  • To review the prevalence, clinical manifestations, diagnostic approaches, and health consequences of celiac disease in the elderly population.
  • To provide updated management strategies for celiac disease, specifically addressing the unique nutritional and non-nutritional aspects relevant to older adults.

Main Methods:

  • Literature review of epidemiological studies, clinical case reports, and management guidelines.
  • Synthesis of existing research on celiac disease in older adults.
  • Analysis of age-specific considerations for diagnosis and treatment.

Main Results:

  • Celiac disease diagnosis in the elderly is more common than previously thought.
  • Clinical presentation in older adults may differ from that in younger populations.
  • Management requires tailored approaches considering age-related comorbidities and nutritional needs.

Conclusions:

  • Celiac disease is a relevant condition in the elderly, necessitating increased awareness and timely diagnosis.
  • Age-specific clinical features and diagnostic challenges exist in older celiac disease patients.
  • Effective management of celiac disease in the elderly involves personalized dietary and therapeutic strategies accounting for geriatric-specific factors.