raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:398063

Refractory celiac disease

Synonyms: Refractory CD · Refractory sprue

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
All ages
Status
active

Refractory celiac disease is a rare intestinal disease characterized by persistent or recurrent symptoms and signs of confirmed celiac disease despite a long-term, strict, gluten-free diet, in the absence of other causes of villous atrophy or malignant complications and with or without presence of increased abnormal intraepitelial lymphocytes.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enRefractory celiac diseaseRefractory CD · Refractory sprue
frMaladie coeliaque réfractaireSprue réfractaire
deRefraktäre ZöliakieRefraktäre CD · Refraktäre Sprue
esEnfermedad celíaca refractariaCD refractaria · EC refractaria · Esprúe refractario
itCeliachia refrattariaCD refrattaria · Sprue refrattaria
nlRefractaire coeliakieRefractaire CD · Refractaire spruw
ptDoença celíaca refractária
plOporna choroba trzewnaOporna CD · Oporna celiakia
csRefrakterní celiakieRefrakterní CD · Refrakterní sprue
ukРефрактерна целіакіяРефракторний CD · Рефракторний спру
zh难治性乳糜泻病难治性CD
trRefrakter çölyak hastalığıRefrakter CD · Refrakter spru

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10K90.0NTBTattributedvalidated
ICD-11DA95NTBTindexvalidated
MONDO0018353Evalidated
UMLSC4749333Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyValidated23609613[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

28 annotations · validated 2021-05-12
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0011473Villous atrophy
Very frequent (99-80%)
HP:0030057Autoimmune antibody positivity
HP:0002853Increased proportion of HLA DR+ T cells
Frequent (79-30%)
HP:0002027Abdominal pain
HP:0002028Chronic diarrhea
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0003073Hypoalbuminemia
HP:0003075Hypoproteinemia
HP:0011123Inflammatory abnormality of the skin
HP:0001891Iron deficiency anemia
HP:0033143Jejunitis
HP:0002024Malabsorption
HP:0004395Malnutrition
HP:0001935Microcytic anemia
HP:0001824Weight loss
Occasional (29-5%)
HP:0025409Abnormal spleen physiology
HP:0000707Abnormality of the nervous system
HP:0002829Arthralgia
HP:0010639Elevated alkaline phosphatase of bone origin
HP:0002901Hypocalcemia
HP:0002917Hypomagnesemia
HP:0002148Hypophosphatemia
HP:0012052Low serum calcitriol
HP:0000939Osteoporosis
HP:0002243Protein-losing enteropathy
Very rare (<4-1%)
HP:0002665Lymphoma
HP:0001972Macrocytic anemia
HP:0001897Normocytic anemia

Run the differential on the 3 obligate / very frequent terms

Annotation source: 25925926[PMID]_31297187[PMID]_31331324[PMID]

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Sources for this card