Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science




Dr. June Sullivan



Celiac disease is a common yet underdiagnosed inflammatory disorder of the small intestine occurring in individuals of all ages with a genetic predisposition. Environmental exposure to gluten, a protein found in grains such as wheat, barley, and rye, triggers the disease. Symptoms can be improved and complications prevented by initiating and adhering to a gluten-free diet. The disease does not often present typically, particularly in the adult population. Extraintestinal manifestations of celiac disease are those that are non-gastrointestinal symptoms. The varied presentation of this disease can prove to be a challenge for clinicians and ultimately delay appropriate diagnosis and subsequent initiation of treatment. Untreated celiac disease may lead to significant complications. Clinicians must recognize the classical and non-classical symptoms, including extraintestinal manifestations of celiac disease, as early recognition can improve prognosis and outcomes.


Available when accessing via a campus IP address or logged in with a University of Lynchburg email address.

Off-campus users can also use 'Off-campus Download' button above for access.