A Case of Sequential Development of Celiac Disease and Ulcerative Colitis

William Dickey

Disclosures

Nat Clin Pract Gastroenterol Hepatol. 2007;4(8):463-467. 

In This Article

Treatment and Management

The mainstay of treatment for celiac disease remains a gluten-free diet administered under the supervision of an experienced dietician. Nutritional deficiencies should be identified and treated by supplementation if necessary pending a response to gluten exclusion. A dual X-ray absorptiometry scan is mandatory in elderly patients with celiac disease, and osteoporosis should be treated with calcium, vitamin D and bisphosphonates. No evidence exists to suggest that ulcerative colitis symptoms, which might be present in conjunction with celiac disease, improve as a result of gluten exclusion. The case patient was prescribed mesalazine as maintenance therapy and steroids (oral prednisolone) to treat relapse and re-establish remission of her ulcerative colitis.

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