Celiac disease is an autoimmune disorder. Patients who have other autoimmune disorders are at risk of developing celiac disease as these disorders share some of the genes involved in celiac disease. Most commonly these include the following:
- Thyroid disease (thyroiditis)
- Type 1 diabetes
- Autoimmune hepatitis
Similarly, patients with celiac disease can also develop other autoimmune disorders especially thyroid disease. There is controversy whether a strict gluten-free diet eliminates the risk for developing other autoimmune disorders. There is some suggestion that it may reduce the risk.
There are several other conditions in which celiac disease should be considered, including the following:
- Selective IgA deficiency
- Sjogren’s syndrome
- Rheumatoid arthritis
- Systemic lupus erythematosis
- Primary sclerosing cholangitis
- Primary biliary cirrhosis
- Addison’s disease
- Down syndrome
- Turner syndrome
It is important that patients with celiac disease have regular follow-up with their family physician and/or gastroenterologist so that development of other autoimmune disorders can be monitored.