Keyword: neuropathy

Why is celiac disease associated with neuropathy?

There are a number of possible reasons for the association of celiac disease and neuropathy: A nutritional deficiency due to malabsorption. Deficiency of some vitamins (especially B12, B6 and E), and metals (especially copper) are well known to cause a peripheral neuropathy. Patients who have one autoimmune disease are predisposed to another autoimmune disorder more… Read more »

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What are some of the symptoms of celiac disease?

Recurring abdominal bloating/pain Chronic diarrhea/constipation Vomiting Liver and biliary tract disorders (transaminitis, fatty liver, primary sclerosing cholangitis, etc.) Weight loss Pale, foul-smelling stool Iron-deficiency anemia that does not respond to iron therapy Fatigue Failure to thrive or short stature Delayed puberty Pain in the joints Tingling numbness in the legs Pale sores inside the mouth… Read more »

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How do you treat neuropathy in someone with celiac disease?

A gluten-free diet has to be started in patients with celiac disease and neuropathy, regardless of whether neuropathy is caused by celiac disease or not. It is unclear, however, if the institution of the gluten-free diet results in improvement of celiac disease neuropathy. Vitamin and mineral supplementation may also be beneficial. The use of immunomodulatory… Read more »

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How do you diagnose neuropathy in someone with celiac disease?

A nerve conduction study is generally used as the initial diagnostic step. However, the nerve conduction study is often normal in patients with an early neuropathy or a neuropathy that only involves the small fiber nerves. Quantitative sweat test and skin biopsy with measurement of intraepithelial nerve fiber density are other modalities that can be… Read more »

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How does celiac disease neuropathy present?

The most common manifestation of celiac disease neuropathy is pain, tingling and numbness in the feet. Some patients present with asymmetrical sensory symptoms, or even pain in the face. Muscle weakness and autonomic symptoms are less common in celiac disease neuropathy. It is important to objectively prove the presence of neuropathy in patients with neuropathy… Read more »

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