|Dep. of Foreign Affairs
While autoimmune mechanisms may play a role in the pathophysiology of celiac disease, we do not often think of celiac disease as being associated with the common rheumatologic signs and symptoms we encounter in our patients.
Yet Sherman et al. (doi: 10.1542/peds.2014-2379) did think about a possible association and report it out in a study we are releasing this week. The authors looked at more than 2100 new patients presenting to a pediatric rheumatology program over 7 ½ years and screened these children for celiac disease as part of their initial serologic evaluation. 36 new cases were found—all of which improved with resolution of their myalgias, arthralgias and rashes after initiation of a gluten-free diet.
Have you thought about celiac disease in your patients with a variety of aches and pains? Have you gotten the same positive resolution once their celiac disease was being treated?
Share with us your experience with unusual presentations of celiac disease by responding to this blog, an e-letter, or posting on our Facebook and Twitter websites.