Coeliac disease

• What are some nail changes seen in those with coeliacs?

  Koilonychia
• How long does gluten need to be eaten for before a coeliac test?


  6 weeks
• What does coeliac increase the risk of developing?


  Enteropathy associated T cell lymphoma
• Why do coeliacs need more vaccines?


  Functional hyposplenism
• What do we biopsy in coeliac?

  Jejunum
• What causes coeliac disease?


  Sensitivity to gluten
• What does repeated exposure to gluten cause in those with coeliac?


  Villous atrophy -> malabsorption
• What are some features of those with coeliac disease (in children)?


  Failure to thrive

  Diarrhoea

  Abdo distention

  Anaemia (older children)
• What would a jejunal biopsy show?


  Villous atrophy
• What are some screening tests for coeliac?


  Anti-endomysial

  Anti-gliadin