RESUMO
Celiac disease is characterized by a gluten-induced damage of the small bowel in sensitive individuals that may cause malabsorption. Non-intestinal inflammatory diseases may trigger immunologic gluten intolerance in susceptible people and the HCV virus may be considered as a suitable candidate. Interferon therapy could precipitate symptom onset in subjects with silent celiac disease. In fact, symptoms such as diarrhea, anemia, and weight loss may occur during interferon therapy and are associated with serological positivity of anti-tranglutaminase antibodies. To date, considering the available literature data, it is very difficult to support a firm association between HCV chronic hepatitis and celiac disease. Thus, such a serological screening in HCV patients before starting interferon therapy should not be recommended. However, serology for celiac disease must be considered in patients who develop diarrhea and/or weight loss during such therapy
RESUMO
Celiac disease [CD] shows an increased prevalence in female, particularly during the fertile period. Celiac diseaseshould be researched in infertility, spontaneous and recurrent abortions, delayed menarche, amenorrhea, earlymenopause, and children with low birth-weight. Celiac disease is still little considered during the evaluation ofinfertility. Up to 50% of women with untreated CD refer an experience of miscarriage or an unfavorable outcome ofpregnancy. Celiac patients taking a normal diet [with gluten] have a shorter reproductive period. Women withundiagnosed CD had a higher risk of small for gestation age infants very small for gestational age infants and pretermbirth when compared with women with noted CD. The link between NCGS and infertility is actually unknown.The goal of our work is to perform an actual review about this topic and to increase the awareness in the medical population to research celiac disease in selected obstetric and gynecological disorders
RESUMO
Ulcerative colitis is associated with several malignancies. Here we report one such association, a rare one, with papillary thyroid carcinoma, and discuss the possible risk factors of such an association