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Published on: August 29, 2025
Liver complications in celiac disease.
Mohammad Reza Zali1, Mohammad Rostami Nejad, Kamran Rostami
1Research Center for Gastroenterology and Liver Disease, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
Celiac disease (CD) involves gluten sensitivity and can manifest with various liver issues. Treating CD may improve associated liver conditions, highlighting a crucial link between gut health and liver function.
Area of Science:
- Gastroenterology and Hepatology
- Autoimmune Disorders
- Dietary Science
Background:
- Celiac disease (CD) is an autoimmune disorder triggered by gluten in wheat, barley, and rye.
- Extra-intestinal manifestations are common in CD, with liver involvement being increasingly recognized.
- Shared risk factors exist between CD and various liver diseases.
Purpose of the Study:
- To review liver disorders associated with celiac disease.
- To discuss the impact of celiac disease treatment on these liver conditions.
Main Methods:
- Literature review of studies on celiac disease and liver disorders.
- Analysis of reported associations between CD and conditions like autoimmune hepatitis, NAFLD, and cholestatic liver diseases.
- Examination of treatment outcomes for liver issues following CD management.
Main Results:
- Celiac disease is linked to autoimmune hepatitis, elevated liver enzymes, primary biliary cirrhosis, nonspecific hepatitis, primary sclerosing cholangitis, and nonalcoholic fatty liver disease.
- Treatment of celiac disease can positively influence the course of associated liver disorders.
- Early diagnosis and management of CD may mitigate liver complications.
Conclusions:
- A significant association exists between celiac disease and a spectrum of liver disorders.
- Management of celiac disease is essential for addressing related hepatic manifestations.
- Further research is warranted to elucidate the precise mechanisms and optimize treatment strategies.
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