Table 1. Clinical-serological features and diagnostic work-up of CD patients.
Patient | Symptoms at onset | Co-morbidities | Antibodies | Endoscopy | Histopathology |
1 | Dyspepsia, tiredness | - | tTG, EMA | Scalloped duodenal folds | 3b |
2 | Tiredness | - | tTG, EMA | Reduced duodenal folds | 3b |
3 | Abdominal pain | Thyroiditis | tTG, EMA | Scalloped duodenal folds | 3b |
4 | Diarrhea, abdominal pain | - | tTG, EMA | Reduced duodenal folds | 3c |
5 | Constipation | - | tTG | Mucosal fissures | 3b |
6 | Diarrhea | Asthma | tTG, EMA | Mosaic pattern | 3c |
7 | Poliabortivity, tiredness | - | tTG, EMA | Mucosal fissures | 3c |
8 | Abdominal pain | Thyroiditis | tTG, EMA | Reduced duodenal folds | 3c |
9 | Dyspepsia, tiredness | Thyroiditis | tTG, EMA | Mosaic pattern | 3c |
10 | None (screening, family history for CD) | - | tTG | Mosaic pattern | 3c |
11 | Diarrhea, abdominal pain | Asthma | tTG, EMA | Absent duodenal folds | 3c |
12 | Weight loss | Thyroiditis | tTG, EMA | Mosaic pattern | 3c |
13 | Abdominal pain | - | tTG | Mucosal fissures | 3b |
14 | Weight loss, diarrhea | Vitiligo | tTG, EMA | Scalloped duodenal folds | 3a |
15 | Infertility, tiredness | Thyroiditis | tTG, EMA | Reduced duodenal folds | 3c |
16 | Diarrhea | - | negative | Scalloped duodenal folds | 3a |
17 | Weight loss | - | tTG, EMA | Mosaic pattern | 3c |
18 | Weight loss, abdominal pain, | - | tTG, EMA | Mosaic pattern | 3c |
19 | Dyspepsia, abdominal pain, diarrhea | - | tTG, EMA | Mosaic pattern | 3c |
20 | Tiredness | Thyroiditis | tTG, EMA | Mosaic pattern | 3c |
CD = celiac disease; tTG = tissue transglutaminase antibodies; EMA = endomysial antibodies.
Histopathological classification is based on the Marsh–Oberhuber grading system [51]. 3a: mild villous flattening; 3b: marked villous flattening; 3c: total villous flattening.