Clinical Presentation
This is the type of diarrhea present in many patients with lactose intolerance
What is osmotic diarrhea
What are the three components necessary for a diagnosis of celiac disease
What are clinical history, serology and duodenal biopsy (must have all three!)
People with untreated celiac disease can also develop this other food sensitivity
What is lactose intolerance (explanation: the small intestine isn't functioning properly leading to the inability to digest lactose)
Most common food allergen amongst U.S. children
What is cow’s Milk?
I was just diagnosed with celiac and I am sorting through my cupboard when I find crisped rice. It has: Rice, Sugar, Salt, Glucose-Fructose Syrup, Barley Malt Flavoring, Caramel Color and vitamins. This ingredient is not gluten free.
What is Barley Malt Flavoring
Many patients with celiac disease would describe their stools in this way
What are foul smelling, greasy and bulky (AKA- steatorrhea)
If history and physical exam are inconclusive for the diagnosis of lactose intolerance, this test is the gold standard for diagnosis
What is the hydrogen breath test
Explanation: Measures hydrogen concentration on breath after lactose ingestion. Lactate metabolism by gut bacteria gives off hydrogen which is expelled through the lungs. GOLD standard after history/inconclusive.
This complication can develop in those with lactose intolerance and/or celiac disease
What is osteopenia/osteoporosis (explanation: this is due to poor nutrient uptake in the small intestines due to inflammation)
This ingredient has higher rates of allergy related anaphylaxis than that of milk or wheat allergies. It tends to persist through adulthood.
What is peanut allergy?
This commonly used hair-care product can contain gluten
What is shampoo
This skin condition is common in patients with celiac disease
What is dermatitis herpetiformis
These findings on duodenal biopsy are indicative of celiac disease
What are atrophic villi and hyperplasia of the crypts
Expecting mothers with untreated celiac disease put their unborn child at risk for this due to poor nutrient absorption
What is low birth-weight
This allergen is found in many vegetable products such as edamame, miso, and tempeh.
What is soy?
Your patient with celiac disease tells you they've been having trouble eating sushi. This commonly used ingredient is likely causing their symptoms.
What is imitation crab meat?
Due to its attack on the small intestine, patients with celiac disease are often deficient in these nutrients
What are folate, iron and calcium
These HLA markers are necessary for the development of celiac disease
What are HLA DQ2 and DQ8
Explanation: Most patients with Celiac disease test positive for DQ2. All patients with celiac disease test positive for one of these alleles however, you can be positive for these alleles and never develop celiac disease.
A person with untreated celiac disease may suffer from malnutrition as a result of this process
What is an autoimmune reaction: immune system reacts to gluten and damages the small intestines, which reduces nutrient absorption
This allergen tends to develop in adulthood and be more severe. Uncommon sources include Caesar salad dressing and BBQ sauce.
What is fish?
Your are lactose intolerant and want to make a salad for lunch. This is a good alternative to salad dressing that does not contain lactose
What is vinaigrette
Celiac disease may be present comorbidly with these disorders
What are Hashimoto's thyroiditis, Type I Diabetes, and IgA Nephropathy
Explanation- These are all autoimmune disorders
This is the serological marker of choice to confirm diagnosis of celiac disease
What is IgA Anti tissue transglutaminase
Celiac disease that has been untreated for a long period of time may result in this type of cancer due to an overreactive immune system
What is lymphoma (explanation: celiac disease is an immune system condition, which involves lymphocytes. When the immune system doesn't function properly, it can lead to immune cells dysfunction. NOTE: while those with celiac disease may be at an increased risk of developing lymphoma compared to people without celiac disease, it is still a very rare condition)
This food allergen is more commonly developed in childhood and can be found in the flu and MMR vaccines.
What is egg?
Your patient recently began the keto diet. This sugar alternative is likely causing their increase in symptoms
What is artificial sweetener