Celiac Disease Screening

Celiac disease screening refers to the process of testing individuals for celiac disease, a chronic autoimmune disorder that causes the immune system to react to gluten, leading to damage in the small intestine.

Who Should Be Screened?

The following individuals should be screened for celiac disease:

• Those with symptoms of celiac disease, such as diarrhea, abdominal pain, fatigue, and weight loss
• First-degree relatives (parents, siblings, or children) of individuals with celiac disease
• Individuals with other autoimmune disorders, such as type 1 diabetes, rheumatoid arthritis, or thyroid disease
• Those with a history of intestinal infections or inflammation
• Individuals with unexplained iron-deficiency anemia, osteoporosis, or neurological symptoms

Screening Tests

The following tests are used to screen for celiac disease:

• Serology tests: These tests measure the levels of certain antibodies in the blood, including:
• Tissue transglutaminase antibody (tTGA)
• Endomysial antibody (EMA)
• Gliadin antibody (AGA)
• Intestinal biopsy: This test involves removing a small sample of tissue from the small intestine to examine for damage and inflammation
• Genetic testing: This test identifies individuals who are at risk of developing celiac disease based on their genetic makeup

Interpretation of Test Results

The interpretation of test results is as follows:

• A positive serology test result indicates the presence of antibodies associated with celiac disease, but does not confirm the diagnosis
• A negative serology test result does not rule out celiac disease, as some individuals may have a false-negative result
• An intestinal biopsy showing villous atrophy and inflammation confirms the diagnosis of celiac disease
• Genetic testing can identify individuals who are at risk of developing celiac disease, but does not confirm the diagnosis

Follow-Up and Diagnosis

If screening tests indicate the presence of celiac disease, a definitive diagnosis is made based on:

• A combination of positive serology test results and intestinal biopsy findings
• Clinical improvement on a gluten-free diet

Importance of Screening

Early screening and diagnosis of celiac disease are important to:

• Prevent long-term complications, such as malnutrition, osteoporosis, and increased risk of other autoimmune disorders
• Improve quality of life through implementation of a gluten-free diet