Diagnosing celiac disease can be a challenge

Nearly 3 million people in the United States are estimated to have celiac disease¹
11 years is the average time that patients experience symptoms before being diagnosed with celiac disease
More than half of patients who are diagnosed with celiac disease do not present with diarrhea

Other pathologies may make accurate diagnosis even more difficult
Gastronintestinal Manifestations¹	Extraintestinal Manifestations¹	Populations at Higher Risk¹
Diarrhea	Dermatitis herpetiformis	Type 1 diabetes mellitus
Weight loss	Iron deficiency anemia	First - and second-degree relatives
Failure to grow	Short stature	Turner syndrome
Bloating and distention	Delayed puberty	Down syndrome
Anorexia	Infertility	Williams syndrome
Constipation	Osteoporosis	Other
Other	Vitamin deficiencies
	Other

Reference:

1. US Department of Health and Human Services. NIH Consensus Statement on Celiac Disease. Bethesda, MD: US Department of Health and Human Services; 2004. NIH Consensus and State-of-the-Science Statements; vol 21, no 1. http://consensus.nih.gov/2004/2004CeliacDisease118PDF.pdf. Published June 28-30, 2004. Accessed August 23, 2007.

Diagnosing celiac disease can be a challenge

Other pathologies may make accurate diagnosis even more difficult