Risikogruppen und mögliche Symptome Zöliakie: Wann daran denken?
Benjamin Misselwitz; Helga P. Török · MMW - Fortschritte der Medizin · 2025 · Heft 13 · S. 44 bis 47
Bibliografische Angaben
Zusammenfassung
Celiac disease is an autoimmune disorder with a prevalence of approximately 1% in Europe, triggered by gluten ingestion in genetically predisposed individuals carrying HLA-DQ2 or HLA-DQ8 alleles. The clinical presentation ranges from asymptomatic cases to classic symptoms such as weight loss, bloating, and chronic diarrhea to extraintestinal manifestations affecting skin, bones, fertility, and mental health. The diagnosis is based on serological testing (anti-transglutaminase-IgA antibodies) and duodenal biopsies. The cornerstone of treatment remains a strict, lifelong gluten-free diet, which can normalize sympt…