Practical examples highlight the overlap between gluten- and grain-related disorders (GRDs) and the diagnostic challenges they present.
Diagnosing and managing gluten-related disorders can be challenging because symptoms often overlap. These case studies, covering celiac disease, wheat allergy, non-celiac gluten sensitivity and wheat sensitivity (NCGS), and irritable bowel syndrome, offer practical insights from real-world clinical experience. Think about how you would have approached each case-and read how other healthcare professionals have navigated the complexity of gluten-related disorders in unclear cases.
A male patient in his mid 60s was referred to the Dietetic Led Celiac Outpatient Clinic for the management of Celiac Disease with a new diagnosis made based on symptoms of significant weight loss and Marsh 3B villous atrophy and increased lymphocytosis. Celiac serology results were awaited.
The patient was a woman in her late 30s referred to an outpatient nutrition clinic following a new diagnosis of celiac disease.
20-year-old female patient with gastrointestinal complaints and concentration problems presents at the medical nutrition therapy practice in fall 2023.