Neuropsychiatric symptoms and celiac disease

Małgorzata Urban-Kowalczyk,1 Janusz Śmigielski,2 Agnieszka Gmitrowicz3 1Affective and Psychotic Disorders Department, Medical University of Łódź, Łódź, Poland; 2Department of Geriatric Medicine Medical University of Łódź, Łódź,...

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Main Authors: Urban-Kowalczyk M, Śmigielski J, Gmitrowicz A
Format: Article
Language:English
Published: Dove Medical Press 2014-10-01
Series:Neuropsychiatric Disease and Treatment
Online Access:http://www.dovepress.com/neuropsychiatric-symptoms-and-celiac-disease-peer-reviewed-article-NDT
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author Urban-Kowalczyk M
Śmigielski J
Gmitrowicz A
author_facet Urban-Kowalczyk M
Śmigielski J
Gmitrowicz A
author_sort Urban-Kowalczyk M
collection DOAJ
description Małgorzata Urban-Kowalczyk,1 Janusz Śmigielski,2 Agnieszka Gmitrowicz3 1Affective and Psychotic Disorders Department, Medical University of Łódź, Łódź, Poland; 2Department of Geriatric Medicine Medical University of Łódź, Łódź, Poland; 3Department of Adolescent Psychiatry, Medical University of Łódź, Łódź, Poland Background: Neuropsychiatric symptoms may represent an atypical manifestation of celiac disease that occur before a gastroenterological diagnosis is made. Some studies suggest that a gluten-free diet is effective in treating the depression, anxiety, and neurological complications associated with celiac disease.Method: The article describes the case of a patient suffering from chronic, treatment-resistant symptoms of depression and anxiety. The diagnosis of celiac disease and introduction of an elimination diet caused a significant improvement in mental state and everyday functioning in the presenting patient.Conclusion: The presence of persistent anxiety and depressive symptoms, with a poor reaction to pharmacological treatment, indicates a need to identify somatic reasons for the underlying condition. It is important to remember that celiac disease can occur at any age, not only in childhood. The presence of this somatic cause of persistent depressive and anxiety symptoms should be considered in the diagnostic process in adults. Keywords: gluten, depression, anxiety, anemia, neurological complications
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spelling doaj.art-9616d32b41c3448fa81101dc3421e2fb2022-12-21T20:05:08ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212014-10-012014default1961196418753Neuropsychiatric symptoms and celiac diseaseUrban-Kowalczyk MŚmigielski JGmitrowicz AMałgorzata Urban-Kowalczyk,1 Janusz Śmigielski,2 Agnieszka Gmitrowicz3 1Affective and Psychotic Disorders Department, Medical University of Łódź, Łódź, Poland; 2Department of Geriatric Medicine Medical University of Łódź, Łódź, Poland; 3Department of Adolescent Psychiatry, Medical University of Łódź, Łódź, Poland Background: Neuropsychiatric symptoms may represent an atypical manifestation of celiac disease that occur before a gastroenterological diagnosis is made. Some studies suggest that a gluten-free diet is effective in treating the depression, anxiety, and neurological complications associated with celiac disease.Method: The article describes the case of a patient suffering from chronic, treatment-resistant symptoms of depression and anxiety. The diagnosis of celiac disease and introduction of an elimination diet caused a significant improvement in mental state and everyday functioning in the presenting patient.Conclusion: The presence of persistent anxiety and depressive symptoms, with a poor reaction to pharmacological treatment, indicates a need to identify somatic reasons for the underlying condition. It is important to remember that celiac disease can occur at any age, not only in childhood. The presence of this somatic cause of persistent depressive and anxiety symptoms should be considered in the diagnostic process in adults. Keywords: gluten, depression, anxiety, anemia, neurological complicationshttp://www.dovepress.com/neuropsychiatric-symptoms-and-celiac-disease-peer-reviewed-article-NDT
spellingShingle Urban-Kowalczyk M
Śmigielski J
Gmitrowicz A
Neuropsychiatric symptoms and celiac disease
Neuropsychiatric Disease and Treatment
title Neuropsychiatric symptoms and celiac disease
title_full Neuropsychiatric symptoms and celiac disease
title_fullStr Neuropsychiatric symptoms and celiac disease
title_full_unstemmed Neuropsychiatric symptoms and celiac disease
title_short Neuropsychiatric symptoms and celiac disease
title_sort neuropsychiatric symptoms and celiac disease
url http://www.dovepress.com/neuropsychiatric-symptoms-and-celiac-disease-peer-reviewed-article-NDT
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