Coeliac Disease

 

What is coeliac disease?

In people with coeliac disease (pronounced ‘seel-ee-ak’ and spelt celiac in some countries) the immune system reacts abnormally to gluten (a protein found in wheat, rye, barley and oats), causing small bowel damage. The tiny, finger-like projections which line the bowel (villi) become inflamed and flattened. This is referred to as villous atrophy. Villous atrophy reduces the surface area of the bowel available for nutrient absorption, which can lead to various gastrointestinal and malabsorptive symptoms. Symptoms can also be caused by inflammation in other parts of the body.


Healthy Villi                                Damaged Villi

A number of serious health consequences can result if the condition is not diagnosed and treated properly.

 

Who gets coeliac disease?

Coeliac disease affects people of all ages, both male and female.

You must be born with the genetic predisposition to develop coeliac disease. The most important genes associated with susceptibility to coeliac disease are HLA DQ2 and HLA DQ8. Either one or both of these genes are present in the majority of people with coeliac disease. While 30% of the population carry one or both of these genes, only 1 in 30 of these people (approximately) will get coeliac disease.

A first degree relative (parent, sibling, child) of someone with coeliac disease has about a 10% chance of also having the disease. If one identical twin has coeliac disease there is an approximate 70% chance that the other twin will also have coeliac disease (but may not necessarily be diagnosed at the same time). If you or a close family member have been diagnosed with coeliac disease, download the family screening letter, which has been designed to take to a GP to request screening for family members who have not already been tested.

Environmental factors play an important role in triggering coeliac disease in infancy, childhood or later in life.

 

How common is the condition?

Coeliac disease affects on average approximately 1 in 70 Australians. However, around 80% of this number remain undiagnosed. This means the vast majority of Australians who have coeliac disease don’t yet know it.

Although better diagnosis rates in recent years can be partially attributed to improved awareness of the condition, there has also been a true increase in the incidence of coeliac disease.

 

Can coeliac disease be cured?

People with coeliac disease remain sensitive to gluten throughout their life, so in this sense they are never cured. However, a strict gluten free diet does allow the condition to be managed effectively.

A strict, lifelong gluten free diet is currently the only recognised medical treatment for coeliac disease. By removing the cause of the disease, a gluten free diet allows the small bowel lining to heal and symptoms to resolve. As long as the gluten free diet is strictly adhered to, problems arising from coeliac disease should not return. Relapse occurs if gluten is reintroduced into the diet.

 

What are the long term risks of undiagnosed and untreated coeliac disease?

The long term consequences of untreated coeliac disease are related to chronic systemic inflammation, poor nutrition and malabsorption of nutrients. For more information, see Associated Conditions.

Fortunately, timely diagnosis of coeliac disease and treatment with a gluten free diet can prevent or reverse many of the associated health conditions.

 

Coeliac disease in plain English

Download the plain English fact sheet for an overview of what coeliac disease is, a symptom check list and steps to diagnosis written in simpler language.

 

Useful Links

Read Information

 

Brochures
Coeliac disease
Associated conditions

Fact sheets
Monitoring and follow-up
Plain English coeliac disease information
Other autoimmune diseases
Dermatitis herpetiformis
Osteoporosis
Lactose intolerance

Family screening
Family screening letter

Position statements
Oats and the gluten free diet
Point of Care Testing for coeliac disease

GESA - health information fact sheets

 

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