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Coeliac disease (British English) or celiac disease (American English) is a long-term autoimmune disorder, primarily affecting the small intestine, where individuals develop intolerance to gluten, present in foods such as wheat, rye and barley. [10]
In these people, the gluten-free diet is demonstrated as an effective treatment, [7] [8] [9] but several studies show that about 79% of the people with coeliac disease have an incomplete recovery of the small bowel, despite a strict gluten-free diet. [10] This is mainly caused by inadvertent ingestion of gluten. [10]
For people with celiac disease, a lifelong strict gluten-free diet is the only effective treatment to date; [23] [69] For people diagnosed with non-celiac gluten sensitivity, there are still open questions concerning for example the duration of such a diet.
Despite these treatments often leading to symptom improvement, they usually do not offer a cure and long-term management is often required. [1] In terms of prevalence, a UK study found that 10% of the population were affected by an autoimmune disease. [3] Women are more commonly affected than men.
This condition is known as refractory coeliac disease (RCD), defined as malabsorption due to gluten-related enteropathy (villous atrophy or elevated intraepitheal lymphocytes) after initial or subsequent failure of a strict gluten-free diet (usually 1 year) and after exclusion of any disorder mimicking coeliac disease.
"Those most at risk for severe foodborne illness include children under 5, pregnant women, older adults and people with weakened immune systems," says Bellows. How long does food poisoning last?
Some women with autoimmune diseases may have problems getting pregnant. This can happen for many reasons such as medication types or even disease types. [59] Tests can tell if fertility problems are caused by an autoimmune disease or an unrelated reason. Fertility treatments are able to help some women with autoimmune disease become pregnant. [2]
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