The Curbsiders Internal Medicine Podcast REBOOT #300 Celiac Disease with Dr. Amy Oxentenko
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Nov 6, 2023 Celiac Disease with Dr. Amy Oxentenko features Dr. Amy Oxentenko, Chair of Medicine at Mayo Clinic AZ. The podcast discusses recognizing both classic and non-classical features of celiac disease, diagnostic testing, management, and proper patient follow-up. The episode also covers non-celiac gluten sensitivity and considerations for atypical celiac patients. Dr. Oxentenko provides valuable insights while keeping the conversation engaging and informative.
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Classic Celiac Case: Miss Freya Gluten
- Miss Freya Gluten illustrates a classic case with weight loss, diarrhea, and hair thinning suggesting malabsorption.
- Her history embodies common missed diagnoses in many patients with celiac disease.
Initial Celiac Testing Advice
- Start workup with IgA tissue transglutaminase antibody and total IgA level to avoid missing IgA deficiency.
- Broaden initial labs to include vitamins and autoimmune screens due to overlapping features.
Comprehensive History for Celiac Suspicion
- Take a thorough history including GI symptoms, growth milestones, family autoimmune diseases, and menstrual/fertility history.
- Inquire broadly for extraintestinal symptoms like skin rash, neuropathy, and headaches to recognize varied celiac manifestations.