Celiac disease incidence after COVID-19 infection

Christina Mastori-Kourmpani1, Theodosios D Filippatos2, Aris P Agouridis1

  • 1Second Department of Internal Medicine, Hippokration University Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Minerva Medica
|August 3, 2026
PubMed

Insights

Coronavirus disease 2019 (COVID-19) infection does not appear to increase the risk of developing celiac disease (CD). This systematic review found no significant difference in CD incidence between COVID-19 patients and non-COVID-19 individuals.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Gastroenterology

Background:

  • Auto-inflammatory diseases, including celiac disease (CD), have seen increased incidence post-COVID-19 pandemic.
  • The potential link between COVID-19 infection and CD risk requires investigation.

Purpose of the Study:

  • To systematically review and meta-analyze existing studies.
  • To assess the association between COVID-19 infection and the incidence of celiac disease.

Main Methods:

  • Searched MEDLINE, Cochrane Library, and Clinicaltrials.gov databases.
  • Conducted qualitative and quantitative syntheses of retrospective studies.
  • Included 4 studies with over 10 million participants (COVID-19 exposed and non-exposed).

Main Results:

  • Pooled analysis revealed no significant difference in CD incidence between COVID-19 exposed and non-exposed individuals (RR 1.25, P=0.12).
  • Sensitivity analysis also showed no difference in CD incidence between COVID-19 and non-COVID-19 patients (RR 1.10, P=0.06).
  • High heterogeneity (I²=87%) was noted in the initial pooled analysis.

Conclusions:

  • COVID-19 infection does not appear to elevate the risk of developing celiac disease.
  • Further research may be warranted to explore potential indirect effects or specific patient subgroups.
Abstract

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