The Bottom Line
Celiac disease affects roughly 1% of patients and often goes undiagnosed. Elevated anti-TTG with confirmatory duodenal biopsy establishes the diagnosis. Treatment consists of lifelong adherence to a gluten-free diet.
Reference
Rubio-Tapia, A., Hill, I., Ciaran, K., Calderwood, A., & Murray, J. ACG clinical guidelines: Diagnosis and management of celiac disease (Am. J. Gastroenterol. 2013;108:656-76).
Dr. Skolnik is associate director of the family medicine residency program at Abington (Pa.) Memorial Hospital and professor of family and community medicine at Temple University, Philadelphia. Dr. Callahan is a second-year resident in the family medicine residency program at Abington.