Aparato Digestivo, Hospital Universitario Fundación Jiménez Díaz, España.
Aparato Digestivo, Hospital Universitario Fundación Jiménez Díaz.
Rev Esp Enferm Dig. 2024 Jul;116(7):381. doi: 10.17235/reed.2023.9747/2023.
currently Celiac Disease corresponds to an entity mainly managed by expert gastroenterologists on the topic but which must be faced on many occasions by primary care physicians or general gastroenterologists. It is important for a good diagnosis to look closely at all the factors that lead to a correct diagnosis (manifestations, antibodies, biopsy). In the spectrum of manifestations we find the classic ones, where the patient suffers from gastrointestinal symptoms typical of a classic Celiac Disease. At the same time, it is important to know that some of these patients do not have these classic symptoms and sometimes their only expression is neurological.
目前,乳糜泻主要由胃肠病学专家管理,但基层医生或普通胃肠病医生也经常会遇到这种疾病。仔细观察所有导致正确诊断的因素(表现、抗体、活检)对于良好的诊断非常重要。在表现谱中,我们发现了经典的表现,患者患有典型的乳糜泻胃肠道症状。同时,重要的是要知道,这些患者中的一些没有这些经典症状,有时他们唯一的表现是神经方面的。