Coeliac disease Coeliac disease Coeliac disease or celiac disease is a long-term autoimmune disorder that primarily affects the small intestine. Classic symptoms include gastrointestinal problems such as chronic diarrhoea, abdominal distention, malabsorption, loss of appetite and among children failure to grow normally. This often begins between six months and two years of age. Non-classic symptoms are more common, especially in people older than two years. There may be mild or absent gastrointestinal symptoms, a wide number of symptoms involving any part of the body or no obvious symptoms. Coeliac disease was first described in childhood; however, it may develop at any age.
Burrill Bernard Crohn that it was caused by the same pathogen, a bacterium called "Mycobacterium paratuberculosis" (MAP), responsible for the similar condition that afflicts cattle called Johne's disease. However, he was unable to isolate the pathogen—most likely because "M. paratuberculosis" sheds its cellular wall in humans and takes the form of a spheroplast, making it virtually undetectable under an optical microscope. This theory has resurfaced in recent years, and has been lent more credence with the arrival of more sophisticated methods of identifying MAP bacteria. Crohn noted that it can be difficult for physicians to correctly differentiate neuroses from diseases of the organs.