Dissemin is shutting down on January 1st, 2025

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Serbian Medical Society, Srpski Arhiv za Celokupno Lekarstvo, 11-12(151), p. 719-724, 2023

DOI: 10.2298/sarh230716098r

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Celiac disease - a comprehensive review

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Celiac disease is a multisystemic autoimmune disease induced by gluten in wheat, rye, and barley. It is characterized by polygenic predisposition, prevailing prevalence in members of the white population (1%), especially in close relatives (5?15%), very heterogeneous expression and frequent association with other autoimmune diseases (3?10%), as well as selective deficiency of IgA and Down, Turner, and Williams syndromes. The basis of the disease and the key finding in its diagnostics is gluten-sensitive enteropathy, i.e., non-specific inflammation of the small intestinal mucosa which resolves by gluten-free diet. In addition to enteropathy, whether symptomatic or asymptomatic, the disease is also characterized by various extraintestinal manifestations, and even very serious complications. Therapy is based on a lifelong glutenfree diet, so that the disorder, if diagnosed in time and treated consistently, has an excellent prognosis.