Title: Clinical problems in recognizing late-onset coeliac disease in adults
- Krystyna Karczewska, Jacek Kasner, Maria Łukasik, Jadwiga Sulej, Daniel Sabat, Dariusz Karasek, Ewa Maroczkaniec
- Original articles
- Polish Gastroenterology
- Start page:
- Final page:
- coeliac disease, diagnon's in adults
Objectives: The aim of the study was to demonstrate the problems in diagnosing coeliac disease in adults.
Material and methods: Retrospective analysis of 6 cases of women aged 30-50 years was performed. In our patients, diagnosed in years 1990-2001, coeliac disease was recognized. These patients had been hospitalised several times before the ultimate diagnosis was confirmed. They were previously referred to Departments of Internal Diseases, Gynecology and Obstetrics or Psychiatry because of: depression, weight loss, chronic diarrhoea, infertility or muscular and joint pain. The diagnosis of coeliac disease was confirmed after the presence of serum IgAEmA and/or IgGEmA levels and total intestinal vilous atrophy were found.
Results: Gluten free diet led to rapid improvement and the clinical symptoms disappeared.
Conclusion: The clinical course of coeliac disease in adults is frequently atypical and could imitate many other syndromes.