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Coeliac disease is a common immune-mediated systemic condition, manifested by small intestinal enteropathy triggered by exposure to gluten (a complex of water insoluble proteins in wheat, rye and barley). There are a number of recent guidelines for the management of coeliac disease in adults and children, and for the transition of paediatric patients to adult care.

This MJA narrative review shares more.

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1. Appropriately diagnose coeliac disease in high-risk groups to prevent nutritional deficiency and long-term risk of gastrointestinal malignancy
2. Follow-up patients with a yearly review of dietary adherence and health check
3. Recognise non-coeliac gluten or wheat protein sensitivity and possibly other wheat proteins in people who do not have coeliac disease or other wheat allergy recognised by diagnostic tests

Authors: Marjorie M Walker, Jonas F Ludvigsson, David S Sanders

Article Type: Narrative review