Published 25 February 2009, doi:10.1136/bmj.b821
Cite this as: BMJ 2009;338:b821

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Easily missed

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Two patient journey articles this week describe the struggle to find what Jocelyn Anne Silvester calls "the most powerful tool that doctors have – a diagnosis." She diagnosed her own coeliac disease during a biochemistry lesson after years of ill health and investigation that labelled her a "heartsink" patient (doi:10.1136/bmj.b380). Henry Willis was nearly 4 years old when his coeliac disease was diagnosed, by which time he was severely anaemic, unwell, and undersized (doi:10.1136/bmj.a3066). Despite a family history of coeliac disease his parents struggled to convince doctors that anything was wrong. Now 11 years old and the second tallest in his class, he describes the positive effect of his diagnosis. "If you have to have a disease this is an OK one," he writes.

Coeliac disease affects one in 100 people in Western populations but is underdiagnosed, often with serious effects on health and quality of . . . [Full text of this article]

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