DISEASE CELIACA

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	DISEASE CELIACA
	*DISEASE CELIACA*

DISEASE CELIACA

Celiaca disease

An alteration, of genetic origin, that it sensitizes to the body against the gluten.

He is one of the transtornos of more frequent genetic origin, affecting, according to estimations, to a boy of between 300.

It is related to the antigen of histocompatibilidad HLA B8.

Seven of each ten patients are women.

Complications

The treated disease does not produce growth defects that can become definitive.

The hipovitaminosis caused by the malaabsorción can produce transtornos in the bones, skin and mucous, coagulation and formation of sanguineous cells.

In the celíacos patients, they are prone to present/display cáneres lymphatic and of other types of the alimentary canal an the adult age.

Prognosis

With a precocious diagnosis and a rigorous diet, they are possible to be avoided most of complications.

The persistence in the gluten ingestion can take to the death.

Diagnosis and treatment

DIAGNOSIS:

In all boy with a malabsorción syndrome it will have to discard, given its frequency, this disease.

Usually, with lee analyses usually it is enough.

In some cases the accomplishment of a biopsy for the histológica confirmation of the picture will be necessary.

TREATMENT:

The basic pillar of the treatment is the rigorous exclusion of the gluten in the diet

General Measures

Acquire exclusively prepared products in which it consists "frees of gluten", or similars in the labeled one.

Kindly read the prospectos of medicines to see if they take gluten in the composition of the excipiente.

Medication

In serious cases, his doctor can prescribe liposolubles vitamin supplements immediate, or other principles to him.

Activity

Without restrictions.

Diet

Besides to avoid the gluten, the diet will be high in proteins and calorias and poor man in fats.

At the beginning of the dietetic treatment the milky ones will have to be avoided.

Once disappeared the symptoms, the functional intolerancia to the lactose that exists usually disappears, reason why they will be possible to be returned to take.

Sometimes it can be necessary to resort to the pastosas or liquid diets.

With this disease it is advised to follow the following diet: Diet without gluten

Warn its doctor if...

In spite of a strict dietetic control, the symptoms reappear.

Factors of risk

The gluten ingestion causes the inflammation and atrophies of the thin intestine.

In addition to in the wheat and some other cereals, the gluten is used much in the food formulations prepared, compressed and capsules.

Prevention

The disease in himself cannot be come up, but the rigorous exclusion of the gluten in the diet avoids its manifestation and progression.

Signs and symptoms

According to the duration and severity of the efermedad the symptoms will be more intense or less.

We can distinguish two groups of symptoms:

Had to the intestinal inflammation: Abundant, Pale Diarrea or lees, Malolientes, greasy Aspect Retortijones, abdominal pains and flatulencia.

Had to the malabsorción: Of liposolubles Vitamins: Hipovitaminosis A (Xeroftalmia) Hipovitaminosis D (Raquitismo) Hipovitaminosis K (Transtornos of the coagulation) Of other nutrients: Anemia (Iron), Infantilism and lack of development (Proteins), Tetania (Calcium),

Other transtornos associate: The last relation is not known, but it is associated frecientemente with Herpetiforme Dermatitis.

Causes

Intolerancia to the gluten.

The gluten is a component of the walls of the wheat and other cereals, made up of a polypeptide (piece of protein) denominated glialina.

In some people, the contact in the alimentary canal with this substance causes an intense inflammatory reaction, with destruction of the intestinal mucosa (since the glialina must be freed to produce this effect, the stomach and the duodeno is not affected).

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