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Celiachia: cosa fare dopo la diagnosi?

As you know, this blog is an operation from patient to patient, and born of the belief that to move in the celiac condition, or suspect that both must share the maximum information.

The purpose is not to cure us alone, as some doctors fear often suspicious sites, forums and blogs like this.
But, conversely, to understand what is the right way to arrive at a diagnosis and then live with this disease.

E 'then why we stress that after the diagnosis, attention should not decrease.
Analysis, and visited not be exhausted by it.

There is a protocol, called "follow-up [1]" to be followed by the newly-diagnosed celiac disease and that the centers of excellence (hospitals which, along with high experience on this disease, you also have a team of doctors of various specializations) are running.

The Protocol was born from the work of the Scientific Committee Country AIC, Volta and co-ordinated by Prof. Prof.Greco and controlled by committees of national experts and ministry.

born not only for the follow-up, but also for diagnosis.

The protocol for follow-up for celiac disease [2]:

to run:

• Verifica correttezza della dieta (errori involontari)
• Complicanze per la diagnosi in età adulta
• Insorgenza di patologie autoimmuni associate
• Complicanze metaboliche o neoplastiche

Come si svolge:

• Primo controllo a 6 mesi dalla diagnosi.
• Successivi a 1-2 anni

Si tratta solitamente di una visita medica con intervista dietetica ed alcuni esami.

Controllo di I livello

Fra quelli possibili, elenchiamo le analisi di:
ferritina, emocromo, acido folico, altri test di assorbimento, antitransglutaminasi (TTG) IGA (IgG in cases of IgA deficiency) values \u200b\u200bfor thyroid, but not only TSH, T3 and T4, also of specific antibodies of autoimmune thyroiditis, and thyroid peroxidase antibodies (AcTPO), thyroglobulin antibodies (ACTG)

Control Level II

are carried out also controls metabolism.
As often about 2 years from the diet can be a syndrome of fatty liver, as well as ultrasound of the liver transaminases you do the analysis.
immunological tests.
tests to check that there are excessive increases in body mass, due to better absorption or psychological compensation in the amount of food.
Densiometria bone (In adults).
thyroid ultrasound and abdominal and / or barium enema examinations are useful.

When you do not make the second endoscopy with multiple biopsies after a period of diet, except for special cases.

Clinical improvement (reduction and absence of symptoms) and examinations will not make this practice necessary.

[1] http://www.fondazioneceliachia.it/doc_din/tocollo_diagnosi_followup_celiachia.pdf
[2] http://www.youtube.com/watch?v=Nk4S9Hd11a0