The interaction between eating disorders and celiac disease: an exploration of 10 cases

Eur J Gastroenterol Hepatol. 2007 Mar;19(3):251-5. doi: 10.1097/MEG.0b013e328012db37.

Abstract

Celiac disease is an inflammatory disorder in which certain peptides from wheat and related grains trigger and maintain an immune reaction in the small intestine. Anorexia nervosa and bulimia nervosa are eating disorders that are morbid and, at times, life-threatening forms of psychopathology. Despite a large body of evidence describing the detrimental effects of eating disorders on the gastrointestinal system, information on the role of the gastrointestinal system in causing or mimicking eating disorders is scarce. To date, eating disorders, as a comorbid condition affecting individuals with celiac disease, has received surprisingly little attention with only a single report found in peer-reviewed literature. In this report, we describe a series of 10 individuals with both celiac disease and eating disorders. These cases demonstrate the complex ways in which celiac disease and eating disorders interact with important clinical implications for the diagnosis and treatment of both illnesses. Our findings suggest that clinicians treating patients with eating disorders or celiac disease should be aware of both conditions to provide optimum care.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Anorexia Nervosa / complications
  • Anorexia Nervosa / diagnosis
  • Bulimia / complications
  • Bulimia / diagnosis
  • Celiac Disease / complications*
  • Celiac Disease / diagnosis
  • Celiac Disease / diet therapy
  • Feeding and Eating Disorders / complications*
  • Feeding and Eating Disorders / diagnosis
  • Female
  • Follow-Up Studies
  • Glutens / administration & dosage
  • Humans
  • Middle Aged

Substances

  • Glutens

Grants and funding