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Celiac Disease
Chronic immune mediated disease which affect small intestine. Intake of dietary glutein results in celiac disease
Clinical features
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Diarrhea
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Steatorrhea (fat in stool )
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Abdominal pain
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Muscle wasting
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Child fail to thrive
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Skin manifestation
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Anemia ( Iron deficiency)
Diagnosis
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tTG IgA
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EMA
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Antigliadin antibodies
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Upper Gi endoscopy and biopsy
Treatment
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Consultation with skilled dietitian
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Education about the disease
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Lifelong adherence to gluten free diet
