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Coeliac disease in primary care

BMJ 2007; 334 doi: https://doi.org/10.1136/bmj.39170.410347.80 (Published 05 April 2007) Cite this as: BMJ 2007;334:704

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Coeliac disease may manifest itseslf as psychosis.

At a course for doctors in nutritional treatment in psychiatry that I
attended a year ago in Sydney one point made by the staff of Pfeiffer
Center of Chicago (www.hriptc.org)was that 4% of psychotic cases are due
to coeliac disease.
Immediately I started doing coeliac screening of all my patients with a
history of psychosis. The very first positive one,who had relatively minor
bowel discomfort, was a 38 year old lady with a 20 year history of bipolar
disorder and numerous admissions for chronic severe depression. A few
weeks after starting a gluten-free diet her depression lifted and she has
remained well since. I believe that all patients with psychotic illness
should be screened.The thought that thousands of people are suffering
mental torture when a simple blood test could lead the way to dramatically
improving their mental health sounds almost too good to be true but true
it is.

Competing interests:
None declared

Competing interests: No competing interests

06 April 2007
Edmond V O`Flaherty
G.P.
Dublin,Ireland