conditions and presentations when serological testing for Coeliac disease is indicated

Last reviewed 01/2018

NICE suggest that serological testing for coeliac disease should be offered in certain situations.

  • Offer serological testing for coeliac disease to:

    • people with any of the following:
        • persistent unexplained abdominal or gastrointestinal symptoms

        • faltering growth prolonged fatigue

        • unexpected weight loss

        • severe or persistent mouth ulcers

        • unexplained iron, vitamin B12 or folate deficiency

        • type 1 diabetes, at diagnosis

        • autoimmune thyroid disease, at diagnosis

        • irritable bowel syndrome (in adults)

    • first-degree relatives of people with coeliac disease

Healthcare professionals should have a low threshold for re-testing people identified in recommendations if they develop any symptoms consistent with coeliac disease