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Is It Celiac Disease, or Something Else?
Refractory disease, symptom mimics, and confounding comorbidities complicate these 3 cases. Can you tease out the answers?
Thirty percent of patients diagnosed with celiac disease continue to report symptoms despite being on a gluten-free diet, a significant concern as there is 2-4 times increased risk of coronary artery disease and small bowel cancers associated with the condition. What is the best remedy for refractory symptoms? Celiac disease also has clinical and histologic similarities to other enteropathies which can delay definitive diagnosis -- and approriate treatment.These issues and others are included in the 3 case challenges that follow below. Find out what you know about celiac disease.
Clinical Tips for Using Antibiotics and Corticosteroids in IBD
January 5th 2013The goals of therapy for patients with inflammatory bowel disorder include inducing and maintaining a steroid-free remission, preventing and treating the complications of the disease, minimizing treatment toxicity, achieving mucosal healing, and enhancing quality of life.
