Puerperium and Celiac Disease: How to Explain this Association

Among gastrointestinal complaints, the most common are chronic diarrhea, abdominal pain and distension, vomiting, malnutrition and weight loss [1]. The extra-intestinal manifestations are becoming increasingly common and include dermatitis herpetiformis, enamel hypoplasia, recurrent oral thrush, anemia, osteoporosis, arthritis, neurological disorders, unexplained elevated transaminase levels and female infertility [2]. This enteropathy may occur at any age and it affects children and adults. It has a prevalence of about 1% in the general population, thus representing the most common genetic-based food intolerance in the world [2].