Suspected Celiac Disease - Diagnosis Algorithm Celiac disease suspected: • Signs and symptoms of celiac disease • First-degree relatives with celiac disease • Iron-deficiency anemia unresponsive to treatment • Elevated liver enzymes without discernable cause • Signs of osteoporosis in young individual • Individuals with autoimmune thyroiditis, hepatitis, T1DM, Addisons, microscopic colitis Differential for villous atrophy: • Celiac disease • Autoimmune • CVID • Medications (NSAlDs, ARBs) • Infection (giardia, tropical sprue, whipple) • Inflammatory (IBD, eosinophilic enteritis, collagenous sprue) • Lymphoma • High acid Matthew Ho, MD PhD @MatthewHoMD #Celiac #Disease #Diagnosis #Algorithm #gastroenterology
