Published 27 May 2009, doi:10.1136/bmj.b1684
Cite this as: BMJ 2009;338:b1684

Practice

Guidelines

Recognition and assessment of coeliac disease in children and adults: summary of NICE guidance

Roberta Richey, technical analyst1, Peter Howdle, professor of clinical medicine2, Elizabeth Shaw, technical adviser1, Tim Stokes, associate director1, on behalf of the Guideline Development Group

1 Centre for Clinical Practice (Short Clinical Guidelines), National Institute for Health and Clinical Excellence, Manchester M1 4BD, 2 Leeds Institute of Molecular Medicine, St James’s University Hospital, Leeds LS9 7TF

Correspondence to: P Howdle p.d.howdle@leeds.ac.uk

The first 150 words of the full text of this article appear below.

Coeliac disease is an autoimmune condition that can be diagnosed at any age. Although it has been traditionally associated with mainly gastrointestinal signs and symptoms, its non-gastrointestinal features have been increasingly recognised.

Given its varied clinical manifestations and the historical belief that it is relatively uncommon,1 2 concern has been raised that coeliac disease—and its possible long term consequences—is being underdiagnosed. It has also been shown to be more prevalent in people with other autoimmune conditions.3 This article summarises the most recent recommendations from the National Institute for Health and Clinical Excellence (NICE) on the recognition and assessment of coeliac disease.4

NICE recommendations are based on systematic reviews of best available evidence. When minimal evidence is available, recommendations are based on the Guideline Development Group’s experience and opinion of what constitutes good practice. Evidence levels for the recommendations are given in italic in square brackets.

Repeat serological testing
Dietary gluten and accuracy of tests

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to StumbleUpon StumbleUpon   Add to Technorati Technorati    What's this?

Relevant Article

Adult coeliac disease
Andrew D Hopper, Marios Hadjivassiliou, Sohail Butt, and David S Sanders
BMJ 2007 335: 558-562. [Extract] [Full Text] [PDF]

Rapid Responses:

Read all Rapid Responses

typo
David S Sanders
bmj.com, 29 May 2009 [Full text]
Access jobs at BMJ Careers
Whats new online at Student BMJ