Case study calls for input on questions about reproductive health problems and other celiac symptoms.
The Journal of the American Medical Association (JAMA) just posted an article featuring a woman’s personal experience with celiac disease and the questions that she had after being diagnosed. The article is part of JAMA’s Clinical Crossroads, a unique series that supplies a case’s medical history alongside the patient’s experience in his or her own words while offering readers the opportunity to submit input and insight to further the discussion.
The case study explains that the 46-year-old woman, Ms. J, had been recently diagnosed with celiac disease after suffering miscarriages and anemia for 20 years. After going on a gluten-free diet, she reported a 15 lb. weight loss, increased iron levels, decreased joint pain and an improvement in energy.
In addition to health improvements, the article shared the Ms. J’s thoughts and concerns about her diagnosis. She noted challenges often cited in the gluten-free community, including difficulty finding a safe place to eat and the high price of gluten-free food. Ms. J also asked questions, including whether celiac disease may have been a factor in her miscarriages. [For information on the link between celiac disease and reproductive health, see Celiac Disease and Women’s Health.]
The article concludes with questions to readers, such as: What symptoms should prompt a clinician to test for celiac disease? How is the diagnosis of celiac disease made? Should family members be tested? What do you recommend for Ms. J?
Readers interested in responding can submit a response on JAMA’s website. Responses must be received by October 9, 2011, to be considered for online posting. A discussion of this case written by Beyond Celiac Medical Advisory Boardmember Dr. Dan Leffler will be published on October 12, 2011.