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Case-finding for coeliac disease in these high-risk populations is recommended.11-21
It is recommended that you consider serological testing for celiac disease in people with:11-21
The average time from symptom onset to correct diagnosis of coeliac disease is 13 years.22
Untreated patients are more likely to develop long-lasting complications.23
Coeliac disease is manageable, and symptoms can be resolved, by strictly adhering to a lifelong gluten-free diet.11,24-29
The initial step toward a coeliac disease diagnosis is to test for coeliac-related antibodies.
Tissue transglutaminase IgA (IgA tTG) is the recommended first line test, together with total IgA to check for IgA deficiency. Most international guidelines, as well as NICE, recommend this. For this test to work, the patient must be consuming gluten.
Request testing through your local pathology lab. Your local pathology lab can advise if a specific algorithm needs to be followed based on the result and the age of the patient.
The early identification and appropriate management of patients with coeliac disease improves clinical outcomes including reducing the risk of cancer, reversing symptoms, and improving QoL*.11,24-29
It is clinically effective and cost effective to use tTG IgA and DGP IgG to determine the need for endoscopy in patients with suspected coeliac disease.11,24-29
Decrease the risk of:
Diagnosis and treatment of coeliac disease significantly reduces the costs of tests by 21 percent.29
CASE-FIND IN YOUR PRACTICE
Diagnosis and treatment of coeliac disease sigificantly reduces referral to secondary care by 37 percent.
Screening and then treating for coeliac disease is cost-effective in first-degree relatives, IBS patients and type 1 diabetes patients.11