Evolution in coeliac disease diagnosis and management
JGH Open,
Год журнала:
2024,
Номер
8(7)
Опубликована: Июль 1, 2024
Abstract
The
traditional
gut‐centric
view
of
coeliac
disease
is
evolving
as
immune
and
genetic
insights
underscore
the
central
importance
a
systemic,
T
cell
response
to
gluten
in
pathogenesis.
As
field
increasingly
recognize
limitations
small
intestinal
histology
diagnostic
standard,
data
supporting
accuracy
an
(serologic)
diagnosis
‐
well
demonstrated
children
are
growing
for
adults.
Novel
biomarkers
such
interleukin‐2
that
identify
gluten‐specific
demonstrate
high
sensitivity
specificity
offer
potential
approach
avoids
need
challenge.
Asymptomatic
manifestations
outside
gut
pose
considerable
challenges
using
case‐finding
strategy
enthusiasm
population
screening
growing.
gluten‐free
diet
remains
highly
restrictive
treatment
there
paucity
controlled
inform
safe
intake
threshold.
Ongoing
symptoms
enteropathy
common
require
systematic
evaluation.
Slowly‐responsive
prevalent
older
patient
diagnosed
with
disease,
super‐sensitivity
emerging
concept
may
explain
many
cases
nonresponsive
disease.
While
great
interest
developing
novel
therapies
no
drug
has
yet
been
registered.
Efficacy
studies
generally
assessing
drugs
patients
treated
who
undergo
challenge
or
disease;
however,
substantial
questions
remain
around
specific
endpoints
relevant
patients,
clinicians
regulatory
agencies
optimal
trial
design.
tools
providing
informative
readouts
clinical
trials
now
shaping
their
Язык: Английский
Defining brain fog across medical conditions
Trends in Neurosciences,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 1, 2025
'Brain
fog'
is
commonly
reported
in
more
than
a
dozen
chronic
diseases,
but
what
it?
We
review
research
across
conditions
which
has
characterised
brain
fog
and
evaluate
its
definitions
objective
correlates.
Brain
been
used
to
refer
variable
set
of
overlapping
symptoms
implicating
cognition,
fatigue,
affect.
It
defined
as
distinct
symptom,
syndrome,
or
nonspecific
term.
consider
the
evidence
that
transdiagnostic
entity
with
common
phenomenology
profile
cognitive
deficits.
discuss
where
these
commonalities
arise
argue
linguistic
ambiguity,
shared
impairments,
noncognitive
factors
are
likely
neurobiology.
suggest
how
future
might
apply
existing
tools
disambiguate
phenomena
conflates.
Язык: Английский
Brain Fog and Cognitive Dysfunction in Posttraumatic Stress Disorder: An Evidence-Based Review
Psychology Research and Behavior Management,
Год журнала:
2025,
Номер
Volume 18, С. 589 - 606
Опубликована: Март 1, 2025
Abstract:
The
term
"brain
fog"
has
long
been
used
both
colloquially
and
in
research
literature
reference
to
various
neurocognitive
phenomenon
that
detract
from
cognitive
efficiency.
We
define
as
the
subjective
experience
of
difficulties,
keeping
with
most
common
colloquial
use
term.
While
a
recent
increase
this
largely
context
post-coronavirus-19
condition
known
COVID,
also
discussed
relation
several
other
conditions
including
mental
health
such
post-traumatic
stress
disorder
(PTSD).
PTSD
is
associated
complaints
relative
deficits
on
testing,
but
phenomenology
mechanisms
contributing
population
are
poorly
understood.
psychopathology
across
cognitive,
affective
physiological
symptom
domains
have
tied
fog".
Furthermore,
dissociative
symptoms
contribute
Comorbid
physical
may
risk
experiencing
among
individuals
PTSD.
Considerations
for
assessment
part
psychodiagnostic
discussed.
standard
psychological
intervention
reduction
deficits,
interventions
be
valuable
when
persists
following
remission
or
interferes
treatment.
Limitations
current
include
lack
consistent
definition
operationalization
literature,
well
limited
tools
measurement.
Future
should
address
these
limitations,
further
evaluate
remediation
an
Keywords:
cognition,
complaints,
fatigue,
trauma
Язык: Английский
Editorial: Peering through the fog—New tools to assess neurocognitive symptoms in coeliac disease
Alimentary Pharmacology & Therapeutics,
Год журнала:
2024,
Номер
59(12), С. 1628 - 1629
Опубликована: Апрель 21, 2024
LINKED
CONTENT
This
article
is
linked
to
Knowles
et
al
paper.
To
view
this
article,
visit
https://doi.org/10.1111/apt.17942
Язык: Английский
Brain Fog Assessment in Patients Recovered from COVID-19 in China: A Development and Validation Study
International Journal of Neuroscience,
Год журнала:
2024,
Номер
unknown, С. 1 - 11
Опубликована: Авг. 29, 2024
Post
coronavirus
disease
2019
(COVID-19)
pandemic,
the
widespread
emergence
and
persistence
of
brain
fog
has
led
to
a
decline
in
people's
productivity
quality
life.
However,
clinical
characteristics
COVID-19-associated
are
unclear,
standardized
assessments
lacking.
This
study
aims
develop
scale
for
assessment
support
practice
research.
Язык: Английский
Physical and psychological symptoms and survey importance in celiac disease
World Journal of Gastrointestinal Endoscopy,
Год журнала:
2024,
Номер
16(12), С. 632 - 639
Опубликована: Дек. 11, 2024
Celiac
disease
is
an
autoimmune
condition
that
affects
approximately
1%
of
the
worldwide
community.
Originally
thought
to
be
confined
mostly
small
intestine,
resulting
in
villous
atrophy
and
nutrient
malabsorption,
it
has
more
recently
been
implicated
systemic
manifestations
as
well,
particularly
when
undiagnosed
or
left
untreated.
Herein,
physical
psychological
symptoms
celiac
are
described
explored.
An
emphasis
placed
on
efforts
query
prospective
confirmed
patients
Язык: Английский
A Message From the Editors
Alimentary Pharmacology & Therapeutics,
Год журнала:
2024,
Номер
61(1), С. 4 - 5
Опубликована: Дек. 12, 2024
Язык: Английский
Exploring the Role of Brain Fog, Fatigue, and Psychological Distress on Quality of Life in Individuals Living with Inflammatory Bowel Disease: A Cross-sectional Study
Journal of Gastrointestinal and Liver Diseases,
Год журнала:
2024,
Номер
33(4), С. 488 - 495
Опубликована: Дек. 28, 2024
Despite
reports
of
brain
fog
in
patients
with
inflammatory
bowel
disease
(IBD),
empirical
research
into
this
phenomenon
has
been
lacking.
This
study
aimed
to
validate
a
scale
and
explore
the
relationships
between
IBD
symptom
activity,
fog,
fatigue,
psychological
distress,
quality
life
(QoL).
Язык: Английский