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Celiac Disease

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Geriatric Gastroenterology

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Abstract

Once believed to be a pediatric disease, celiac disease is now recognized to emerge at any age; it has a high prevalence in older adults, although the manifestations are subtle. The disease is characterized by multisystem involvement, with many atypical manifestations. The prevalence of CD is steadily increasing the world over. In the older adult, CD may present with anemia mostly of the iron deficiency type, osteoporosis, obesity, and rarely neurological manifestations or in association with other autoimmune disorders. The diagnosis is established by serum antibody, small bowel histological abnormality, and response to a gluten-free diet. In untreated CD patients, there may be modest increase in small bowel lymphoma.

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Authors and Affiliations

  1. Robert Wood Johnson School of Medicine, Drexel University School of Medicine, Philadelphia, USA

    C. S. Pitchumoni MD, MPH, FRCP(C), MACP, MACG, AGAF (Clinical Professor of Medicine)

  2. New York Medical College, Vallhala, NY, USA

    C. S. Pitchumoni MD, MPH, FRCP(C), MACP, MACG, AGAF (Adjunct Professor of Medicine)

  3. Gastroenterology, Hepatology and Nutrition, Saint Peter’s University Hospital, New Brunswick, NJ, USA

    C. S. Pitchumoni MD, MPH, FRCP(C), MACP, MACG, AGAF (Chief)

  4. Department of Gastroenterology, Robert Wood Johnson University Hospital, One Robert Wood Johnson Place, 19, New Brunswick, NJ, 08903-0019, USA

    Nancy Chen MD

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  1. Hospital, Department of Medicine, Saint Peter’s University, 254 Easton Ave, New Brunswick, 08901, New Jersey, USA

    C. S. Pitchumoni

  2. (North Division), Department of Medicine, Montefiore Medical Center, 600 East 233rd Street, Bronx, 10466, New York, USA

    T. S. Dharmarajan

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Pitchumoni, C.S., Pitchumoni, C.S., Pitchumoni, C.S., Chen, N. (2012). Celiac Disease. In: Pitchumoni, C., Dharmarajan, T. (eds) Geriatric Gastroenterology. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1623-5_52

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