Case study: ultra- short coeliac disease
A female patient in her mid 50’s self-referred to the Dietetic Led Coeliac Outpatient Clinic for advice.

Case studies from real life clinical cases illustrate the overlapping phenomenon of gluten-related disorders – and the related challenges.
Due to the phenomenon of symptomatic overlap, the diagnosis and treatment of gluten-related disorders (GRD) often proves challenging. Real world case studies on coeliac disease, wheat allergy, gluten/wheat sensitivity and irritable bowel syndrome may be helpful in supporting understanding. Ask yourself how you would have approached the situation – and read how other clinicians have shed light on unclear cases.
A female patient in her mid 50’s self-referred to the Dietetic Led Coeliac Outpatient Clinic for advice.
While classical gastrointestinal symptoms are widely recognised in Coeliac Disease, many individuals present with subtle or non specific features, which can delay diagnosis.
A female in her late 20s, working in a stressful office-based role, was seen in a private remote dietetic clinic as part of a four-month 1:1 IBS coaching programme
The patient was a woman in her late 30s referred to a telephone outpatient dietetic clinic following a new diagnosis of coeliac disease.
A male patient in his mid 60’s was referred to the Dietetic Led Coeliac Outpatient Clinic for the management of Coeliac Disease with a new diagnosis made based on symptoms of significant weight loss and Marsh 3B villous atrophy and increased lymphocytosis. Coeliac serology results were awaited.