The medical community has an obligation to protect vulnerable populations, speaking up for any group that may not be able to advocate for themselves, and patients with Down, Turner, and Williams syndrome certainly fall into this category. Yet one facet of their health – one that could vastly improve quality of life – often goes overlooked.
There is a high prevalence of celiac disease among individuals with Down, Turner, and Williams syndrome, and it is recommended that these patients get tested annually. Unfortunately, many of the symptoms of celiac disease are attributed to the syndrome instead, and gluten sensitivity goes undiagnosed.
Today Nadine shares several case studies as well as her own experience working with patients with developmental delays. She covers the high incidence of celiac disease and non-celiac gluten sensitivity in Down, Turner, and Williams syndrome patients, the signs and symptoms of gluten damage, and the importance of annual screening in this population.
What’s Discussed:
The prevalence of celiac disease and non-celiac gluten sensitivity in individuals with Down, Tuner and Williams syndrome
Tiffany’s story
Alternatives to the standard blood test that could reveal non-celiac gluten sensitivity in Down syndrome patients
The importance of testing family members
The overlap of celiac disease and Down syndrome
Symptoms of celiac disease and non-celiac gluten sensitivity
Nadine’s story of an autistic patient
Cases of asymptomatic celiac disease in children with Down syndrome
Resources Mentioned:
“Screening for Celiac Disease in Down’s Syndrome Patients Revealed Cases of Subtotal Villous Atrophy Without Typical for Celiac Disease HLA-DQ and Tissue Transglutaminase Antibodies” from the World Journal of Gastroenterology
“Prevalence of Celiac Disease in Down’s Syndrome” from the European Journal of Gastroenterology and Hepatology
“Asymptomatic Celiac Disease in Children with Trisomy 21 at 26 Months of Age or Less” from the International Journal of Pediatrics
Other Resources:
“Celiac Disease” from the Pediatric Gastroenterology Board Review Manual
“The Coexistence of Down Syndrome and a Triad Consisting of: Coeliac Disease, Insulin Dependent Diabetes Mellitus and Congenital Hypothyroidism” from Down Syndrome Research and Practice
“Coeliac Disease in Williams Syndrome” from the Journal of Medical Genetics
“Turner Syndrome and Celiac Disease: A Case-Control Study” from Pediatrics
Connect with Nadine:
Contact via Email
Books by Nadine:
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
A Nurse’s Story of Celiac Disease from 1953 EP074
Musings & Truths From the Gluten Free RN EP073
African Americans & Celiac Disease EP072
Celiac Disease & Why No One Should Have Belly Pain EP071
Blood Disorders and Celiac Disease EP070
Eosinophilic Esophagitis and Celiac Disease EP069
Why No Dairy on a Gluten-Free Diet? EP068
Indigenous Populations, Celiac Disease and NCGS EP067
How to Easily Go Gluten-Free or Paleo EP066
Russia and Celiac Disease EP065
Review of Colombia University Celiac Disease Conference 2018 EP064
Poland and Celiac Disease EP063
The Irish and Celiac Disease EP062
The US Military and Celiac Disease EP061
Hepatitis B Vaccine and Celiac Disease EP060
Hypothyroid, Pulmonary Edema and Celiac Disease EP059
Mental Health Disorders and Celiac Disease EP058
My Health and Lessons for You EP057
Celiac Disease for Nurses EP056
Hopes and Wishes for Celiac Disease in 2018 EP055
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