Clinical update: coeliac disease in children

Coeliac disease (CD) is a lifelong condition and occurs in children (also adults) who are sensitive to gluten protein. It affects around 1% of children, although many cases remain undiagnosed. It is important that the community practitioners remain aware of the classic gastrointestinal features of CD and make an early referral for diagnosis. Suspicion of CD should lead to antibody screening tests and positive results should be followed by an intestinal biopsy for a definitive diagnosis. Paediatric dietitians should always be involved before commencing a gluten-free diet (GFD) as they play a vital role in supporting families. Extra-intestinal manifestations can pose a diagnostic challenge and a suspicion of CD should always be discussed with a medical professional. School nurses play an important role in supporting the child in the school environment and are in a position to recognise non-compliance and school absences. Strict adherence to a GFD is essential to maintain good health and to prevent long-term complications.