Gluten‑induced diseases and when to think about them

Lepek je sms protein v zrnech obilovin penice, ita, jemene i ovsa, kter me vyvolat celou adu onemocnn, a ji na podklad autoimunitnm (celiakie), alergickm (alergie na penici) i jinm (neceliakln glutenov/penin senzitivita). V diagnostice se uplatuj pedevm tyto postupy: peliv anamnza, stanoven specifickch celiaklnch autoprotiltek doplnn o histologick vyeten duodenln sliznice, stanoven alergen specifickch IgE protiltek v sru a kon testy, ppadn eliminan a expozin testy s lepkem. Dleit je na tato onemocnn pomlet pi podezelch stevnch i mimostevnch symptomech nebo u nkterch autoimunitnch i genetickch chorob. Bezlepkov dieta by nemla bt zahjena ped provedenm potebnch diagnostickch test a urenm diagnzy ve spoluprci s gastroenterologem a alergologem.