Celiac Disease affects almost 1% of the North Indian population and anywhere from 0.5-0.7% in other parts of the country. So it is common and with that frequency every healthcare provider will have a few celiac patients under their care. As Celiac Disease can present at any age (including adults) and has both intestinal and extra-intestinal manifestations (in fact over 200 symptoms have been associated with Celiac Disease), whenever a patient presents to you with a non-febrile chronic illness that is not resolving or is difficult to treat or has no easy explanation check for celiac disease. It is definitely more common when there is already a family member with the Celiac Disease or there is another autoimmune disease in the patient or family. In fact in the same patient two or more autoimmune disorders can be present. It is more common in patients with Trisomy 21.
Dr Pankaj Vohra - Author – “Celiac Disease - A Comprehensive Guide (NBT Publication)”
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