Celiac iceberg

Celiac iceberg

“Celiac Iceberg” is a term used to describe various manifestations of celiac disease (CD)—symptomatic and asymptomatic.

The latter can be further divided into silent and latent.

Symptomatic CD presents with gastrointestinal (GI) and non-GI symptoms. The GI symptoms may include diarrhea, constipation, bloating, flatulence, abdominal pain, and nausea. The non-GI symptoms may comprise of skin issues, joint pain, neurological problems, osteoporosis, infertility, and even intestinal cancer.

Silent asymptomatic CD is characterized by the absence or minimal presentation of symptoms yet damage to the intestinal lining and positive blood test results for CD. Individuals at risk for silent CD include first-degree relatives of celiacs, and Down syndrome and type 1 diabetes patients.

Latent asymptomatic CD presents with neither symptoms nor damage to the intestinal lining. It may be accompanied by a positive blood test results. Individuals at risk may with time develop damage to the intestinal wall.

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