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Approach to monitoring celiac disease

Approach to monitoring celiac disease
DXA: dual-energy x-ray absorptiometry.
* Tissue transglutaminase and deamidated gliadin peptide can be used for monitoring celiac disease.
Other tests may include complete blood count, alanine aminotransferase, vitamins (A, D, E, B12), copper, zinc, carotene, folic acid, ferritin, and iron.
Δ Blood tests at follow-up should be individualized to verify correction of laboratory tests that were abnormal at baseline.
The role of biopsy for monitoring celiac disease is discussed in detail in the text.
Reprinted by permission from: Macmillan Publishers Ltd: American Journal of Gastroenterology. Rubio-Tapia A, Hill ID, Kelly CP, et al. ACG clinical guidelines: Diagnosis and management of celiac disease. Am J Gastroenterol 2013; 108:656. Copyright © 2013. www.nature.com/ajg.
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