No popular authors found.
Ads by Google:

Categories

No categories found.


Get Celiac.com's E-Newsletter




Ads by Google:



Follow / Share


  FOLLOW US:
Twitter Facebook Google Plus Pinterest RSS Podcast Email  Get Email Alerts

SHARE:

Popular Articles

No popular articles found.
Celiac.com Sponsors:

New Study Sheds Light on Elderly Onset Celiac Disease


Older people can show atypical signs of celiac disease. Photo: CC--Paul L. Dineen

Celiac.com 09/28/2016 - Celiac disease occurs most often in children and young adults. However, people can develop celiac disease at any age, and rates are rising even among older people.

Because older people often show clinically atypical symptoms, they can sometimes experience a delay in diagnosis. Also, serological tests have a lower sensitivity and specificity in the older patients. This means that doctors only begin to suspect celiac disease in the presence of other, often vaguely associated complications, such as autoimmune disorders, fractures, and finally, malignancy, and that diagnosis must be aided by endoscopic and imaging tools.

A team of researchers recently set out to assess the incidence and prevalence of celiac disease in the elderly, the patterns of clinical presentation, diagnosis, and the most frequent complications, with the aim of increasing awareness and reducing the diagnostic delay of celiac disease even in the elderly population.

Ads by Google:

The research team included Maria Cappello, Gaetano C. Morreale, and Anna Licata of the Gastroenterology and Hepatology Section, DIBIMIS, University of Palermo School of Medicine, Palermo, Italy. The team's recent article highlights their findings regarding celiac rates and incidence in older patients, along with patterns of clinical presentation, diagnosis, and most frequent complications.

The researchers conclude:

"Despite a paucity of symptoms, such as diarrhea and weight loss, CD has been increasingly recognized in the elderly. Other presentations in the elderly age group include iron deficiency anemia (often refractory to oral iron), autoimmune disorders, bone disease due to osteopenia, including fractures, malignant intestinal disease, especially lymphoma, and finally idiopathic dilated cardiomyopathy. Diagnosis may be delayed due to limited symptoms, a low index of clinical suspicion, or diagnostic difficulties related to important cognitive impairment that often affects elderly people. Although for these patients, the GFD is the key of clinical management, elderly patients sometimes are scarcely adherent to diet.

Patients should be referred to specialists to ensure the better management of the disease and related complications. Micronutrients, such as iron, calcium, vitamin D supplementation, and vitamins, should be part of a modified GFD for the elderly patients. All other therapeutical interventions that limit malabsorption and avoid complications should be considered part of a management strategy."

Source:

Celiac.com welcomes your comments below (registration is NOT required).





Spread The Word







Related Articles



2 Responses:

 
Betty Schmidt
Rating: ratingfullratingfullratingfullratingfullratingfull Unrated
said this on
03 Oct 2016 3:56:00 PM PDT
I have celiac disease and have been on a gluten free diet for about 12 years. I had emails sent to me from BioTrust they tell you can take this pill and you can eat gluten it is Gluten Gaurd is this true or not. I've been told there is nothing you can take for celiac. Any feed back is welcome. Thank you for your time.

 
admin
( Author)
said this on
03 Oct 2016 3:59:54 PM PDT
The only treatment for celiac disease is a gluten-free diet, but some digestive supplements could be helpful for those who do risk eating out.




Rate this article and leave a comment:
Rating: * Poor Excellent
Your Name *: Email (private) *:




In Celiac.com's Forum Now:

All Activity
Celiac.com Celiac Disease & Gluten-Free Diet Forum - All Activity

I would not worry. Things might resolve on the gluten free diet as celiac disease does impact fertility in many ways. I hit perimenopause at 40. It lasted over a decade (the range of years varies from person to person) and I experienced every single perimenopause symptom (on and off) in the book. I was diagnosed with celiac disease after I went though menopause because of anemia that would not resolve. You could ask your GP/PCP to order a hormonal panel (include thyroid) if you see him/her sooner. This will let you know if you are starting perimenopause. My Mom breezed through menopause. Not me!!!!!

.." Gluten Free Watchdog we have been testing a wide variety of products with the Nima Sensor. It is very difficult to put the results of testing completed to date into proper context due to the lack of a published validation report on this device. One goal of our testing is to provide recommendations for consumer use of the Nima Sensor. This is proving to be impossible at this time. In the opinion of Gluten Free Watchdog the Nima Sensor was released into the marketplace prematurely. Given the current state of development of this sensor, Gluten Free Watchdog cannot support its use by the gluten-free community at this time...." https://www.glutenfreewatchdog.org/news/gluten-free-watchdogs-position-statement-on-consumer-use-of-the-nima-sensor-to-test-food-for-gluten/

https://www.glutenfreewatchdog.org/news/gluten-free-watchdogs-position-statement-on-consumer-use-of-the-nima-sensor-to-test-food-for-gluten/ "t Gluten Free Watchdog we have been testing a wide variety of products with the Nima Sensor. It is very difficult to put the results of testing completed to date into proper context due to the lack of a published validation report on this device. One goal of our testing is to provide recommendations for consumer use of the Nima Sensor. This is proving to be impossible at this time. In the opinion of Gluten Free Watchdog the Nima Sensor was released into the marketplace prematurely. Given the current state of development of this sensor, Gluten Free Watchdog cannot support its use by the gluten-free community at this time."

Yeah, I was pretty surprised. However, lots and lots of fantastic wine and gin. Even the house wine at a pub is going to be a nice French or Spanish something. Also drank a lot of port. And they take their gin super seriously there, some really good stuff. The closest I got to having a beer was trying some gin distilled from geuze (wild-fermented beer). Very nice. Make up for the lack of beer by eating all the fries.

This sounds familiar. Does the pain feel like its actually in your ribs, sore when you press on it? It could be costochondritis, which is inflammation of the cartilage between your ribs. It seems to be one of those weird things that tends to affect celiacs, could be a symptom of glutening or brought on by something else. I had a bad case of it a few months after going gluten free. Started as just a weird ache, and one morning it felt like I was being stabbed. Spent all day in emergency while they ruled out heart issues. Anti-inflamatories helped and it went away after a few days. Never came back that bad again. It could also just be heartburn-type symptoms triggered by gluten. I would see a doctor though, because you want to rule out whether its your heart or something. You're still early in your healing process, so not only are you probably not an expert at the gluten-free diet yet, but your body is readjusting to the new reality and doing all kinds of weird stuff. Hopefully this will resolve soon and not be a regular occurrence. It would only have a connection to your bowel issues in that it could be yet another fun affect of Celiac disease. Good luck and feel better soon!