Which of the following diseases is also known as Gluten-induced enteropathy?

PGICH Noida NO-2025

Medical & Surgical Nursing

Easy

Appeared in: PGICH Noida NO-2025

Explanation

Celiac disease is an immune-mediated enteropathy, which means it is a disease of the intestine caused by an abnormal immune system response.
This immune response is specifically triggered by the ingestion of gluten, a protein found in wheat, barley, and rye.
Therefore, the term 'gluten-induced enteropathy' is a descriptive synonym for Celiac disease, as it accurately reflects the cause (gluten) and the affected organ system (intestine).
The resulting inflammation damages the small intestinal villi, leading to malabsorption of nutrients.

Option B: Lactose intolerance is a digestive disorder caused by the inability to digest lactose (milk sugar) due to a deficiency of the lactase enzyme. It is not an autoimmune condition and is unrelated to gluten.
Option C: Ulcerative colitis is an inflammatory bowel disease (IBD) characterized by chronic inflammation and ulcers in the large intestine (colon) and rectum. Its cause is multifactorial and not directly induced by gluten.
Option D: Cystic fibrosis is a genetic disorder affecting mucus and sweat glands. It can cause malabsorption due to pancreatic insufficiency (thick mucus blocking pancreatic ducts), but it is not an autoimmune or gluten-induced enteropathy.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Synonyms and Pathophysiology of Celiac Disease as background academic context rather than a clinical decision trigger.
The cornerstone of nursing care for celiac disease is comprehensive patient education about maintaining a strict, lifelong gluten-free diet to prevent intestinal damage and long-term complications like osteoporosis and certain cancers.
Nurses must teach patients to be vigilant about reading food, beverage, and medication labels, as gluten can be a hidden ingredient in many products.
What if? If a patient with celiac disease presents with persistent anemia despite reporting adherence to a gluten-free diet, the nurse should suspect potential cross-contamination, unintentional gluten ingestion, or the development of refractory celiac disease, and facilitate further investigation.

How to Approach the Question

This is a factual recall question that tests your knowledge of medical terminology and disease synonyms.
First, break down the key term in the question: 'Gluten-induced enteropathy'. 'Gluten' is the trigger, 'induced' means caused by, and 'enteropathy' means a disease of the intestine.
Next, evaluate each option based on this definition.
Recall the pathophysiology of each listed disease. Celiac disease is an intestinal disease caused by gluten. Lactose intolerance is about milk sugar. Ulcerative colitis is IBD of the large intestine. Cystic fibrosis is a genetic mucus disorder.
The only option that matches the definition of a gluten-caused intestinal disease is Celiac disease.

Concept Tested & Keywords

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E6 Pathology- ROBBINS & COTRAN PATHOLOGIC BASIS OF DISEASE 10TH Ed p. 785-787

E6 Gynecology Williams p. 286-353