Abstract

Purpose Celiac disease is a common autoimmune disease that is under-diagnosed. Challenges in its diagnosis are due to the frequent presentations of silent celiac disease, without overt diarrhea, and the perceived rarity of the disease despite recent studies showing that its prevalence approaches 1% of the United States population. Published studies have shown that the diagnosis of celiac sprue is frequently delayed, even with typical symptoms. Atypical and “silent” diseases are the most common presentations for gluten-sensitive enteropathy as less than 50% of patients present with the classic diarrhea-predominant disease.

Highlights

  • Celiac disease is a common autoimmune disease that is under-diagnosed

  • Challenges in its diagnosis are due to the frequent presentations of silent celiac disease, without overt diarrhea, and the perceived rarity of the disease despite recent studies showing that its prevalence approaches 1% of the United States population

  • We present the case of an 82 year old African American man who presented as a new patient from our dermatology department after he had undergone evaluation and treatment for an extensive, chronic, pruritic, psoriasiform rash that started from his upper chest and back and covered over 70% of his body

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Summary

Introduction

Celiac disease is a common autoimmune disease that is under-diagnosed. Challenges in its diagnosis are due to the frequent presentations of silent celiac disease, without overt diarrhea, and the perceived rarity of the disease despite recent studies showing that its prevalence approaches 1% of the United States population. A pruritic, psoriasiform rash in an 82 year old patient: clues to diagnosing atypical celiac disease From International Research Congress on Integrative Medicine and Health 2012 Portland, Oregon, USA. Purpose Celiac disease is a common autoimmune disease that is under-diagnosed.

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