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Celiac-Sprue Disease
Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Nontropical sprue or celiac-sprue disease, gluten-sensitive enteropathy
          • Definitions

            • Celiac disease: Chronic intolerance of gluten that induces intestinal injury in genetically predisposed individuals
            • Tropical sprue: Malabsorption seen in inhabitants of tropical countries

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Malamut G et al: Refractory celiac disease. Expert Rev Gastroenterol Hepatol. 8(3):323-8, 2014
                                      2. Mooney PD et al: Coeliac disease. BMJ. 348:g1561, 2014
                                      3. Soyer P et al: Celiac disease in adults: evaluation with MDCT enteroclysis. AJR Am J Roentgenol. 191(5):1483-92, 2008
                                      4. Scholz FJ et al: Intramural fat in the duodenum and proximal small intestine in patients with celiac disease. AJR Am J Roentgenol. 189(4):786-90, 2007
                                      5. Paulsen SR et al: CT enterography as a diagnostic tool in evaluating small bowel disorders: review of clinical experience with over 700 cases. Radiographics. 26(3):641-57; discussion 657-62, 2006
                                      6. Pilleul F et al: Possible small-bowel neoplasms: contrast-enhanced and water-enhanced multidetector CT enteroclysis. Radiology. 241(3):796-801, 2006
                                      7. Boudiaf M et al: Small-bowel diseases: prospective evaluation of multi-detector row helical CT enteroclysis in 107 consecutive patients. Radiology. 233(2):338-44, 2004
                                      8. Lomoschitz F et al: Enteroclysis in adult celiac disease: diagnostic value of specific radiographic features. Eur Radiol. 13(4):890-6, 2003
                                      9. van den Bosch HC et al: Celiac disease: small-bowel enteroclysis findings in adult patients treated with a gluten-free diet. Radiology. 201(3):803-8, 1996
                                      10. Strobl PW et al: CT diagnosis of celiac disease. J Comput Assist Tomogr. 19(2):319-20, 1995
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Synonyms

                                                • Nontropical sprue or celiac-sprue disease, gluten-sensitive enteropathy
                                              • Definitions

                                                • Celiac disease: Chronic intolerance of gluten that induces intestinal injury in genetically predisposed individuals
                                                • Tropical sprue: Malabsorption seen in inhabitants of tropical countries

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • CT Findings

                                                    • Ultrasonographic Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Gross Pathologic & Surgical Features

                                                              • Microscopic Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Malamut G et al: Refractory celiac disease. Expert Rev Gastroenterol Hepatol. 8(3):323-8, 2014
                                                                          2. Mooney PD et al: Coeliac disease. BMJ. 348:g1561, 2014
                                                                          3. Soyer P et al: Celiac disease in adults: evaluation with MDCT enteroclysis. AJR Am J Roentgenol. 191(5):1483-92, 2008
                                                                          4. Scholz FJ et al: Intramural fat in the duodenum and proximal small intestine in patients with celiac disease. AJR Am J Roentgenol. 189(4):786-90, 2007
                                                                          5. Paulsen SR et al: CT enterography as a diagnostic tool in evaluating small bowel disorders: review of clinical experience with over 700 cases. Radiographics. 26(3):641-57; discussion 657-62, 2006
                                                                          6. Pilleul F et al: Possible small-bowel neoplasms: contrast-enhanced and water-enhanced multidetector CT enteroclysis. Radiology. 241(3):796-801, 2006
                                                                          7. Boudiaf M et al: Small-bowel diseases: prospective evaluation of multi-detector row helical CT enteroclysis in 107 consecutive patients. Radiology. 233(2):338-44, 2004
                                                                          8. Lomoschitz F et al: Enteroclysis in adult celiac disease: diagnostic value of specific radiographic features. Eur Radiol. 13(4):890-6, 2003
                                                                          9. van den Bosch HC et al: Celiac disease: small-bowel enteroclysis findings in adult patients treated with a gluten-free diet. Radiology. 201(3):803-8, 1996
                                                                          10. Strobl PW et al: CT diagnosis of celiac disease. J Comput Assist Tomogr. 19(2):319-20, 1995