This transcript has been edited for clarity.
Jessi ca Hane, MD, MPH, MBA: Welcome back to The Cribsiders. This is a Medscape video recap of one of our recent podcast episodes. Chris, what topic are we reviewing today?
Christopher J. Chiu, MD: We had a recent episode where we chatted with Dr Dale Lee from Seattle Children's Hospital about the diagnosis and management of celiac disease, called Celiac Disease – The Great Mimicker.
Hane: What were some of your favorite pearls and takeaways from the episode?
Chiu: Celiac disease is an immune-mediated reaction to gluten, a protein found in wheat, barley, and rye. The symptoms are mostly due to inflammation, especially in the gut, which leads to things like malabsorption and osmotic effects that cause diarrhea and bloating.
Hane: You mentioned some of the symptoms, but when should we really consider testing a child for celiac disease, and how do we test for it?
Chiu:One of the big takeaways from talking with Dr Lee was that he really wants us to know that we should have a very low threshold to test. He equates celiac disease in the GI world to lupus in the rheumatology world because it's one of the great mimickers.
Celiac Disease (Sprue) Imaging
Pediatric Celiac Disease (Sprue)
COMMENTARY
Testing Kids for Celiac Disease: Who, When, How
Christopher J. Chiu, MD; Jessica Hane, MD, MPH, MBA
DisclosuresAugust 29, 2023
This transcript has been edited for clarity.
Jessi ca Hane, MD, MPH, MBA: Welcome back to The Cribsiders. This is a Medscape video recap of one of our recent podcast episodes. Chris, what topic are we reviewing today?
Christopher J. Chiu, MD: We had a recent episode where we chatted with Dr Dale Lee from Seattle Children's Hospital about the diagnosis and management of celiac disease, called Celiac Disease – The Great Mimicker.
Hane: What were some of your favorite pearls and takeaways from the episode?
Chiu: Celiac disease is an immune-mediated reaction to gluten, a protein found in wheat, barley, and rye. The symptoms are mostly due to inflammation, especially in the gut, which leads to things like malabsorption and osmotic effects that cause diarrhea and bloating.
Hane: You mentioned some of the symptoms, but when should we really consider testing a child for celiac disease, and how do we test for it?
Chiu:One of the big takeaways from talking with Dr Lee was that he really wants us to know that we should have a very low threshold to test. He equates celiac disease in the GI world to lupus in the rheumatology world because it's one of the great mimickers.
© 2023 WebMD, LLC
Cite this: Testing Kids for Celiac Disease: Who, When, How - Medscape - Aug 29, 2023.
Tables
Authors and Disclosures
Authors and Disclosures
Authors
Christopher J. Chiu, MD
Assistant Professor, Department of Internal Medicine, Division of General Internal Medicine, Ohio State University School of Medicine; Lead Physician, General Internal Medicine, OSU Outpatient Care East; Department of Internal Medicine, Division of General Internal Medicine, Ohio State University Wexner Medical Center, Columbus, Ohio
Disclosure: Christopher J. Chiu, MD, has disclosed no relevant financial relationships.
Jessica Hane, MD, MPH, MBA
Assistant Professor, University of Minnesota; Internal Medicine and Pediatric Hospitalist, University of Minnesota Medical Center, Minneapolis, Minnesota
Disclosure: Jessica Hane, MD, MPH, MBA, has disclosed no relevant financial relationships.