Abstract
Celiac disease (CD) is a common immune-mediated disorder that affects approximately 1% of Caucasians and develops in genetically susceptible subjects after the ingestion of gluten proteins present in wheat, barley, and rye.1 Although historically CD was defined by small-bowel damage and subsequent malabsorption, more recently it has been recognized as a multisystem disorder that may affect other extraintestinal organs, such as the skin, heart, nervous system, and liver.2 CD has some characteristics that have been described in typical autoimmune disorders but CD is unique among the autoimmune diseases because the autoantigen (tissue transglutaminase) and environmental trigger (gluten) are known (Table 1).3 Table 1 Common Characteristics Between Typical Autoimmune Disease and CD
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