Table 3.

Summary of key features associated with the presentation of celiac disease in adults

High prevalence, even in advanced age

Oligosymptomatic presentation

Serology may have a low diagnostic yield

Duodenal biopsy usually shows mild atrophy or lymphocytic enteritis

Lymphocytic enteritis is a common presentation in adult celiac

The study of duodenal biopsy by an expert pathologist and the use of advanced techniques like flow cytometry may be useful for the diagnosis

Monitoring of the strict dietary compliance and the recovery of villous atrophy

The presence of associated complications should be identified at an early stage