Importance of Nutritional Assessment and Collaboration between Physicians and Registered Dietitians in Detecting Celiac Disease: Two Case Studies
Celiac disease (CD) is an autoimmune inflammatory disease of the small bowel that can lead to severe villous atrophy, malabsorption, and even gastrointestinal malignancy. It is triggered by the gluten proteins of wheat, barley, and rye. Prevalence of CD is highest in Europe and in countries where Europeans have emigrated, including North America and Australia. CD has been thought to affect 1 in 1,500 people throughout Europe, with areas of greater frequency (). However, recent serologic screening followed by diagnostic small intestinal biopsy have shown that in the United Kingdom the true prevalence may be 1:300, in Southern and Northern Ireland the prevalence has recently been revised to 1:150, and in the United States, where the prevalence of CD has always been lower than in Europe, a re...MedWorm Supporter Message: Find a vast selection of gluten free food and GF cookbooks at the Sensible Celiac.
http://www.adajournal.org/article/PIIS0002822309006361/abstract?rss=yes
