Celiac Disease in Specific Populations

Isabel Hujoel1, James A King2, Amanda K Cartee3

  • 1Division of Gastroenterology, Department of Internal Medicine, University of Washington, 1410 NE Campus Parkway, Seattle, WA 98195, USA.

Insights

Celiac disease (CeD) affects diverse populations across all demographics and locations. Recognizing CeD

Area of Science:

  • Immunology
  • Gastroenterology
  • Genetics

Background:

  • Previous understanding of celiac disease (CeD) risk populations was limited.
  • CeD affects individuals irrespective of race, sex, age, socioeconomic status, or geography.
  • CeD is associated with autoimmune disorders, immune-mediated diseases, and chromosomal abnormalities.

Purpose of the Study:

  • To broaden the understanding of celiac disease risk populations.
  • To highlight the diverse associations and presentations of celiac disease.
  • To emphasize the need for personalized management strategies.

Main Methods:

  • Review of recent epidemiological data on celiac disease.
  • Analysis of comorbidities and genetic associations with celiac disease.
  • Synthesis of information on variations in disease presentation and management.

Main Results:

  • Celiac disease risk is not confined to specific demographics.
  • A wide range of autoimmune and genetic conditions are linked to celiac disease.
  • Significant variability exists in how celiac disease presents and is managed across different groups.

Conclusions:

  • Celiac disease has a broader at-risk population than previously recognized.
  • Understanding the heterogeneity of celiac disease is crucial for effective diagnosis and treatment.
  • Personalized approaches are essential for managing celiac disease in diverse patient groups.

Related Concept Videos

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
635
Other Disorders of Digestive System01:30

Other Disorders of Digestive System

The gastrointestinal tract is susceptible to various disorders. If the lower esophageal sphincter is damaged, stomach acid can flow back into the esophagus, causing irritation and inflammation of the lining. This condition is called gastroesophageal reflux disease (known as heartburn) and may cause chest pain and difficulty swallowing. In the stomach, prolonged use of nonsteroidal anti-inflammatory drugs like aspirin, chronic alcohol consumption, bacterial infections such as Helicobacter...
1.4K
Factors Influencing Drug Absorption: Disease States and Pharmacology01:25

Factors Influencing Drug Absorption: Disease States and Pharmacology

Multiple disease states can significantly influence the oral drug absorption process by affecting blood flow and the functionality of the gastrointestinal (GI) system. Various GI diseases, including conditions that alter GI motility, such as diarrhea, decreased acid secretions (achlorhydria), and infections, have been associated with reduced drug absorption.
Substances such as alcohol and specific drugs, including antineoplastics, can also negatively impact drug absorption. For instance,...
1.3K
Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
822
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
947
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
891