when to offer testing (test) for coeliac disease
Last reviewed 01/2018
- Offer serological testing for coeliac disease to:
- people with any of the following:
- persistent unexplained abdominal or gastrointestinal symptoms
- faltering growth prolonged fatigue
- unexpected weight loss
- severe or persistent mouth ulcers
- unexplained iron, vitamin B12 or folate deficiency
- type 1 diabetes, at diagnosis
- autoimmune thyroid disease, at diagnosis
- irritable bowel syndrome (in adults)
- persistent unexplained abdominal or gastrointestinal symptoms
- first-degree relatives of people with coeliac disease
- people with any of the following:
- Consider serological testing for coeliac disease in people with any of
the following:
- metabolic bone disorder (reduced bone mineral density or osteomalacia)
- unexplained neurological symptoms (particularly peripheral neuropathy
or ataxia)
- unexplained subfertility or recurrent miscarriage
- persistently raised liver enzymes with unknown cause
- dental enamel defects
- Down's syndrome
- Turner syndrome
- metabolic bone disorder (reduced bone mineral density or osteomalacia)
Healthcare professionals should have a low threshold for re-testing people
identified in recommendations if they develop any symptoms consistent with coeliac
disease
Reference: