NICE backs serological testing for celiac disease

Persistent gastrointestinal symptoms and prolonged fatigue are among symptoms that should alert GPs to a possible diagnosis of celiac disease, NICE has said.

New guidelines on the recognition and assessment of celiac disease suggest that patient with any symptoms suggestive of celiac disease should be offered serological testing.

These symptoms include: chronic or intermittent diarrhoea, failure to thrive, persistent or unexplained gastrointestinal symptoms, prolonged fatigue, recurrent abdominal pain, cramping or distension, sudden or unexplained weight loss and unexplained iron-deficiency anaemia.

Patients with the following conditions should also be considered for serological testing, NICE suggests: type-1 diabetes, autoimmune thyroid disease, dermatitis herpetiformis and irritable bowel syndrome.

tom.moberly@haymarket.com

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