Table 3.
Main extra-intestinal manifestations of non-celiac gluten sensitivity and associated disorders
Manifestations | Extra-intestinal manifestations | Level of evidence | Associated disorders | Level of evidence |
General symptoms | Tiredness | 4 | Aphthous stomatitis | 4 |
Lack of wellbeing | 4 | |||
Foggy mind | 4 | |||
Joint or muscle pain | 4 | |||
Arm/leg numbness | 4 | |||
Neurologic manifestations | Ataxia | 3b | ||
Neuropathy | 3b | |||
Encephalopathy | 3b | |||
Epilepsy | 4 | |||
Miopathy | 4 | |||
Myelopathy | 4 | |||
Demyelinating disease | 4 | |||
Psychiatric manifestations | Depression | 1c | Bipolar disorder | 4 |
Anxiety | 1c | Gluten psychosis | 4 | |
Autism | 2b | |||
Schizophrenia | 4 | |||
Other autoimmune diseases and rheumatologic diseases | Psoriasis | 2b | ||
Autoimmune thyroiditis | 2b | |||
Rheumatoid arthritis | 4 | |||
Scleroderma | 4 | |||
Sjogren syndrome | 4 | |||
Raynaud phenomenon | 4 | |||
Skin diseases | Dermatitis herpetiformis | 2b | ||
Contact dermatitis | 2b | |||
Rash and undetermined dermatitis | 2b | |||
Functional disorders | Fibromyalgia | 1c | ||
Irritable bowel syndrome | 1c | |||
Nutritional imbalance | Anemia | 4 | ||
Osteoporosis | 2b | |||
Other | Interstitial cystitis | 4 | ||
Ingrown hairs | 4 | |||
Rhinitis, asthma | 4 | |||
Postural tachycardia syndrome | 2b | |||
Oligo- or polymenorrhea | 4 |
The level of evidence was expressed according to the Oxford consensus[85]