29: Ceiliac Disease and Bone Mass Density

Background and aims: Celiac disease (CD), an autoimmune disease initiated by the ingestion of food containing gluten. Constant intolerance to gluten cause damages of the small intestinal mucosa. One of reasons malabsorption in children and infants is Celiac disease. About 75% of newly identified patients with celiac disease have low bone mineral density (BMD). Many factors have role in metabolic bone disease such as disturbance in calcium absorption, consume of endogenous calcium, fecal loss, damaged to vitamin D absorption and inflammatory mediators. The gluten free diet (GFD) is only efficacious treatment for celiac disease. Low bone mineral density (BMD) which is a prevalent problem of untreated CD may be restored by gluten free diet.