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 symptoms, as these symptoms can be caused by diseases other than neuropathy. These include diseases of the central nervous system, primary pain syndromes like fibromyalgia, and psychogenic diseases.