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Celiac Disease A Hidden Epidemic

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ISBN-10: 006076693X

ISBN-13: 9780060766931

Edition: 2006 (Unabridged)

Authors: Peter H. R. Green, Rory Jones, Peter H. Green

List price: $24.95
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Celiac Disease (CD) is one of the most common and underdiagnosed, hereditary autoimmune condition in the U.S. today. Recent studies reveal that 1 in every 100 people suffer from CD. And 97% of them are undiagnosed. The average time to diagnosis is currently 9 years. In the case of CD (also known as gluten intolerance), the body damages or destroys the very mechanism that enables us to digest food. The primary target of injury is the small intestine. Triggered by gluten, the main protein found in wheat, rye and barley, the disease damages the small intestine so that it is unable to properaly absorb nutrients. This is the first authoritative guide to CD coauthored by an internationally…    
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Book details

List price: $24.95
Copyright year: 2006
Publisher: HarperCollins Publishers
Publication date: 2/7/2006
Binding: Hardcover
Pages: 352
Size: 6.00" wide x 9.00" long x 1.13" tall
Weight: 1.276
Language: English

A Note from the Authors
Introduction: What's Wrong with Me?
Is The Food You Eat Eating You?
Normal Digestion
The Gastrointestinal (GI) Tract
The Mouth
The Stomach
One-Way Street
The Pancreas
The Liver
The Small Intestine
Gluten: The Problem Protein
The Colon (Large Intestine)
When Normal Goes Pathological
In Summary
The Digestive Tract in Flames: Celiac Disease
Celiac Disease
What Is Gluten?
What Goes Wrong: The Role of Inflammation
What Is Tissue Transglutaminase (tTG)?
The Intestinal Battlefield
The Digestive Tract in Flames
How Does Celiac Disease Affect You?
Severe or "Classic"
Atypical Celiac Disease
Silent Celiac Disease
Every Body Reacts Differently
Intestinal Problems
The Manifestations of Malabsorption
Systemic Inflammatory Reactions and Autoimmune Diseases
How Do I Know If I Have It? The Diagnosis of Celiac Disease
Food Allergy versus Gluten Intolerance versus Food or Gluten Sensitivity
The Diagnosis
Latent Celiac Disease
Blood Tests
Sensitivity and Specificity
IgA Endomysial Antibodies (EMA)
IgA Tissue Transglutaminase (tTG)
IgA and IgG Antigliadin Antibodies (AGA)
Selective IgA Deficiency
Laboratory Differences
False Negatives/False Positives
Endoscopy and Biopsy (the Gold Standard for Diagnosis)
How Specific Is a Biopsy
Skin Biopsy
Gluten Challenge
Blood Dot Test
Fecal Test
Saliva Testing
Breath Tests
The Future of Testing
Differential Diagnosis: Why Is Celiac Disease Underdiagnosed?
What Is the Differential Diagnosis of Celiac Disease?
You Think You Are Sick, the Doctor Does Not
Finding a Doctor
Finding the Right Umbrella
Why Do People Get Celiac Disease?
A Brief History
The Crucial Pieces of the Puzzle
A Genetic Primer-Fitting the Groove
The Swedish Epidemic
What We Know
We Are Not There Yet
Related Conditions and Complications
Neurological Manifestations
The Nervous System 101
Peripheral Neuropathy
Nerve Conduction Studies (EMG)
Cerebral Calcifications: A Recognition Factor for Celiac Disease
Other Neurological Conditions
What Causes Neuropathies in Celiac Disease?
The Effect of the Gluten-Free Diet
The Relationship of Malignancies and Celiac Disease: What Is the Risk?
What Causes the Cancers?
Management Issues
The Effect of the Gluten-Free Diet
Should I Be Screened for Cancers?
Bones 101
Remodeling the Skeleton
The Reservoir Runs Dry
Are You at Risk?
What Causes Bone Loss in Celiac Disease?
Management Issues
The Effect of the Gluten-Free Diet
Diet and Supplements
Bone Resorption Agents
Parathyroid Hormone (PTH)
What Is Depression?
What Causes Depression in Celiac Disease?
Nutrient Malabsorption-Folic Acid
The Effect of the Gluten-Free Diet
The Bottom Line
Dermatitis Herpetiformis and Other Skin Diseases
What Is Dermatitis Herpetiformis?
How Do I Know If I Have It-Tests for Dermatitis Herpetiformis
Where Does It Come From-Pathogenesis
Dermatitis Herpetiformis and Other Diseases
Management Issues
Systemic Drugs
Topical Creams
What Triggers Dermatitis Herpetiformis?
The Effect of the Gluten-Free Diet
Hiding in Plain Sight
Other Skin Conditions
What Is Diabetes?
What Causes Type 1 Diabetes (IDDM)?
Diabetes and Celiac Disease
Management Issues
Lifestyle and Compliance Issues
Will I Get Better on a Gluten-Free Diet?
To Test or Not to Test
What Causes Infertility?
The Relationship to Celiac Disease: Effect on Females
The Relationship to Celiac Disease: Effect on Males
What Causes Infertility in Celiac Disease?
The Effect of the Gluten-Free Diet
Next Steps
Autoimmune and Other Related Conditions
What Causes Autoimmune Disease?
Which Comes First?
Thyroid Disease
Sjogren's Syndrome
Addison's Disease
Autoimmune Liver Disease
Alopecia Areata
Rheumatoid Arthritis
Aphthous Stomatitis
Multiple Sclerosis (MS)
Attention-Deficit/Hyperactivity Disorder (ADHD)/Autism Spectrum Disorder (ASD)
Dental Enamel Defects
Raynaud's Syndrome
Genetic Disorders
A Final Word
Understanding and Treating Celiac Disease: Medical Management
What You Need to Know-and Do-After Diagnosis
Treating the Patient, Not the Refrigerator
Dietary Counseling About the Gluten-Free Diet
Assessment of Nutritional Deficiencies
Medication Assessment
Bone Density Determination
Pneumovax Vaccination
Screening of Family Members
Monitoring of Blood Antibody Levels
Repeat of Biopsy
Screening for Malignancies
General Health Measures
Why Symptoms Persist-I'm on the Diet and Not Getting Better
Lactose Intolerance
Pancreatic Insufficiency
Bacterial Overgrowth
Microscopic Colitis
Refractory Sprue
Skin Manifestations
How Soon Will I Get Better?
Follow-Up Testing
Follow-Up Blood Tests
Follow-Up Biopsy
Family Testing
High-Risk Group Testing
Genetic Testing
Video Capsule Endoscopy
The Diet: Do You Eat to Live or Live to Eat?
What Living Gluten-Free Really Means: The Basics
How Much Is Too Much?
Grain Science
Cross Contamination
Basic Rules for Avoiding Cross Contamination
Are You Getting Good Information?
Reading Labels
The 2004 Labeling Law
Labels 101
Ingredients and Additives Worth Understanding
Gluten-Free Labels by 2008
Testing for Gluten in a Product
Labels-The Next Steps
Questions That Remain
Cooking Without Gluten
Cooking Styles
Cooking Gluten-Free
Eating in the Real World
"Back-Home" Techniques
A Brief Sauce Primer
Other People's Homes
Hospital Stays
Family Occasions
Holidays-Dealing with the Urge to Splurge
Banquets and Wedding Bell Blues
The Medicine Cabinet and Cosmetics
Prescription Drugs
Vitamins, Minerals, and Other Supplements
Eating Naked
Is Your Gluten-Free Diet Keeping You Healthy?
Children at Risk
Living with
Dealing with Children and Young Adults Who Have Celiac Disease
Factors That Affect Successful Adaptation
Parental Attitudes
The First Five (Birth to Five Years Old)
Six Ups (Six to Eleven Years Old)
Twelve Ups (Twelve to Eighteen Years Old, Adolescents)
Adolescents with Celiac Disease and Type 1 Diabetes (IDDM)
Young Adults (College and Up)
Road Rules
Adults: Coping with Change
Reactions to the Diagnosis
Dealing with "Forbidden Fruit"
Passing the Pizza Test
Helpful Hints
Research: Finding a Cure
Potential Therapies
Designer Drugs
"First, Do No Harm"
Myths and Unexplored Areas
Myths Surrounding Celiac Disease
Unexplored Areas
A Guide to Ingredients
Explanation of Grains
Books and Articles of Interest
Medical Contact Information
National Support Groups
Publications and Resources