{"id":17426,"date":"2017-06-12T10:00:44","date_gmt":"2017-06-12T08:00:44","guid":{"rendered":"https:\/\/hellocare.com\/?p=17426"},"modified":"2025-12-05T10:09:37","modified_gmt":"2025-12-05T09:09:37","slug":"intolerance-gluten-diagnostics-traitements","status":"publish","type":"post","link":"https:\/\/www.hellocare.com\/blog\/intolerance-gluten-diagnostics-traitements\/","title":{"rendered":"L&rsquo;intol\u00e9rance au gluten : diagnostics et traitements"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><p><span style=\"font-size: regular;\"><span style=\"font-size: 18px; line-height: 1.6em; letter-spacing: 0px;\"><span class=\"fusion-dropcap dropcap\">D<\/span>ans un pr\u00e9c\u00e9dent article nous vous expliquions <a href=\"https:\/\/www.hellocare.com\/blog\/intolerance-au-gluten\/\" target=\"_blank\" rel=\"noopener noreferrer\">comment reconna\u00eetre une intol\u00e9rance au gluten<\/a>. Nous vous pr\u00e9sentons ici les diagnostics qui permettent d\u2019\u00eatre sur de la pathologie ainsi que les diff\u00e9rents traitements possibles :<\/span><!--more--><\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" style=\"text-align:center;--awb-max-width:500px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"768\" height=\"512\" alt=\"Traitement et diagnostic de l&#039;intol\u00e9rance au gluten\" title=\"Diagnostic-traitement-gluten\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27768%27%20height%3D%27512%27%20viewBox%3D%270%200%20768%20512%27%3E%3Crect%20width%3D%27768%27%20height%3D%27512%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/www.hellocare.com\/blog\/wp-content\/uploads\/2017\/06\/Diagnostic-traitement-gluten.jpg\" class=\"lazyload img-responsive wp-image-24434\"\/><\/span><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-top:0px;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:36;line-height:1.25;\"><h2>L&rsquo;intol\u00e9rance au gluten, c\u00f4t\u00e9 m\u00e9decin \u00e7a se passe comment ?<\/h2><\/h2><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-top:0px;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-2\"><div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<h3>Comment faire le diagnostic ?<\/h3>\n<\/div>\n<\/div>\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\"><\/div>\n<\/div>\n<\/div><div class=\"fusion-text fusion-text-3\"><div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p>Votre m\u00e9decin traitant peut suspecter une intol\u00e9rance au gluten :<\/p>\n<ul>\n<li>en cas de sympt\u00f4mes \u00e9vocateurs et inexpliqu\u00e9s par une autre affection ;<\/li>\n<li>si une ou des personne(s) de votre famille proche sont touch\u00e9e(s).<\/li>\n<\/ul>\n<p>Votre m\u00e9decin vous adresse alors \u00e0 un gastro-ent\u00e9rologue pour un bilan compl\u00e9mentaire, qui se d\u00e9roule en plusieurs \u00e9tapes :<\/p>\n<ul>\n<li>Une\u00a0<b>prise de sang<\/b>\u00a0permet de rechercher des anticorps transglutaminase tissulaire, de classes IgA et IgG et des anticorps anti-endomysium de classe IgA (les plus sp\u00e9cifiques de la maladie). S\u2019ils sont absents, l\u2019intol\u00e9rance au gluten est peu probable. \u00c0 l\u2019inverse, la pr\u00e9sence de ces anticorps renforce l\u2019hypoth\u00e8se d\u2019une maladie c\u0153liaque.<\/li>\n<li>Pour mettre en \u00e9vidence une\u00a0<b>pr\u00e9disposition g\u00e9n\u00e9tique<\/b>, le m\u00e9decin demande un typage g\u00e9n\u00e9tique HLA de la personne : examen mettant en \u00e9vidence les g\u00e8nes HLA DQ2 et HLA DQ8, souvent pr\u00e9sents dans l\u2019intol\u00e9rance au gluten.<\/li>\n<li>Le diagnostic est confirm\u00e9 gr\u00e2ce \u00e0 des\u00a0<b>biopsies de l\u2019intestin gr\u00eale<\/b>\u00a0(effectu\u00e9es avant toute mise au r\u00e9gime sans gluten). Cet examen consiste \u00e0 pr\u00e9lever quatre \u00e0 six fragments de tissu, sur la partie de l\u2019intestin gr\u00eale la plus proche de l\u2019estomac (le duod\u00e9num). Il est r\u00e9alis\u00e9 au cours d\u2019une endoscopie digestive haute (par la bouche) sans anesth\u00e9sie g\u00e9n\u00e9rale chez l\u2019adulte ou sous anesth\u00e9sie g\u00e9n\u00e9rale chez l\u2019enfant. L\u2019analyse des pr\u00e9l\u00e8vements permet de d\u00e9celer d\u2019\u00e9ventuelles l\u00e9sions sur la paroi interne de l\u2019intestin gr\u00eale.<\/li>\n<li>Toutefois, lorsque les sympt\u00f4mes de la maladie sont pr\u00e9sents, que les anticorps sp\u00e9cifiques sont \u00e9lev\u00e9s et que le groupe HLA est typique, il est possible que les biopsies intestinales ne soient pas demand\u00e9es.<\/li>\n<\/ul>\n<p>Une fois le diagnostic pos\u00e9, un bilan compl\u00e9mentaire est n\u00e9cessaire :<\/p>\n<ul>\n<li>prise de sang \u00e0 la recherche d\u2019anomalies h\u00e9patiques, d\u2019une\u00a0<a href=\"https:\/\/www.ameli.fr\/assure\/sante\/themes\/anemie-par-carence-en-fer\" target=\"_blank\" rel=\"noopener noreferrer\">an\u00e9mie par carence en fer<\/a><\/li>\n<li>ost\u00e9odensitom\u00e9trie pour mesurer la densit\u00e9 osseuse \u00e0 la recherche d\u2019une\u00a0<a href=\"https:\/\/www.ameli.fr\/assure\/sante\/themes\/osteoporose\" target=\"_blank\" rel=\"noopener noreferrer\">ost\u00e9oporose<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\"><\/div>\n<\/div>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-bottom:5px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-4\"><p style=\"text-align: center;\"><strong><span style=\"font-size: large;\"><a href=\"https:\/\/www.hellocare.com\/dieteticien\">&gt; N&rsquo;attendez plus ! Consultez un m\u00e9decin en vid\u00e9o rapidement concernant votre intol\u00e9rance ! <i class=\"fas fa-video\"><\/i> <\/a>\u00a0<\/span><\/strong><\/p>\n<\/div><div class=\"fusion-text fusion-text-5\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-6\"><div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<h3>Un seul traitement : l&rsquo;arr\u00eat du gluten<\/h3>\n<\/div>\n<\/div>\n<\/div><div class=\"fusion-text fusion-text-7\"><div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p>Passer au sans gluten, c\u2019est une petite r\u00e9volution alimentaire. Pas facile de renoncer aux pain, p\u00e2tes, pizzas ou encore le muesli ! Il y a des pi\u00e8ges \u00e0 \u00e9viter, des r\u00e9flexes \u00e0 int\u00e9grer, de nouvelles recettes \u00e0 ma\u00eetriser.<\/p>\n<p>Et pourtant \u00e7a vaut le coup ! En quelques semaines disparition des sympt\u00f4mes, et en un an disparition des anticorps, le rem\u00e8de est imparable.<\/p>\n<\/div>\n<\/div>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-bottom:5px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-8\"><div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<h3>Alors que manger ?<\/h3>\n<\/div>\n<\/div>\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\"><\/div>\n<\/div>\n<\/div><div class=\"fusion-text fusion-text-9\"><div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p>La plupart des aliments bruts ou peu transform\u00e9s : viande, poisson et volailles frais (non pan\u00e9s, non marin\u00e9s), fruits frais, la majorit\u00e9 des laitages, les pommes de terre, les l\u00e9gumes frais ou cuisin\u00e9s maison, le vin, le cidre, les spiritueux, les liqueurs distill\u00e9es\u2026<\/p>\n<p>Les c\u00e9r\u00e9ales et leurs d\u00e9riv\u00e9s sans gluten : quinoa, sarrasin, millet, riz, amarante, tapioca, manioc, ma\u00efs et leurs d\u00e9riv\u00e9s (farines, f\u00e9cules, semoule, etc.), l\u2019arrow-root, la f\u00e9cule de pomme de terre, les poudres d\u2019amandes, de noix de coco, de noisettes.<\/p>\n<p>Les farines de ch\u00e2taigne, de pois chiches, de lentilles, de noix de coco, de lupin, de teff, de soja, de sorgho, de souchet, de chanvre, d\u2019igname.<\/p>\n<p>Heureusement pour les amateurs de pain et de p\u00e2tes, on trouve de plus en plus de produits sans gluten qui peuvent \u00eatre rembours\u00e9s par la s\u00e9curit\u00e9 sociale si le patient est reconnu en ALD (Affection de longue dur\u00e9e, ce qui implique des biopsies positives). Attention cependant aux produits sans gluten tr\u00e8s transform\u00e9s : le gluten y est remplac\u00e9 par des graisses et du sucre pour la texture et le go\u00fbt et sont aussi dangereux pour la sant\u00e9 que le gluten !<\/p>\n<\/div>\n<\/div>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-inner-bg-wrapper\" style=\"--awb-inner-bg-size:cover;--awb-margin-top:0px;--awb-margin-bottom:0px;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"https:\/\/www.hellocare.com\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\"https:\/\/www.hellocare.com\/dieteticien\" target=\"_self\" aria-label=\"consulter_un_die\u0301te\u0301ticien_en_ligne\"><img decoding=\"async\" width=\"300\" height=\"130\" alt=\"dieteticiens en ligne\" src=\"https:\/\/www.hellocare.com\/blog\/wp-content\/uploads\/2019\/06\/consulter_un_die\u0301te\u0301ticien_en_ligne.jpg\" data-orig-src=\"https:\/\/www.hellocare.com\/blog\/wp-content\/uploads\/2019\/06\/consulter_un_die\u0301te\u0301ticien_en_ligne.jpg\" class=\"lazyload img-responsive wp-image-27928\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27768%27%20height%3D%27334%27%20viewBox%3D%270%200%20768%20334%27%3E%3Crect%20width%3D%27768%27%20height%3D%27334%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/www.hellocare.com\/blog\/wp-content\/uploads\/2019\/06\/consulter_un_die\u0301te\u0301ticien_en_ligne-200x87.jpg 200w, https:\/\/www.hellocare.com\/blog\/wp-content\/uploads\/2019\/06\/consulter_un_die\u0301te\u0301ticien_en_ligne-400x174.jpg 400w, https:\/\/www.hellocare.com\/blog\/wp-content\/uploads\/2019\/06\/consulter_un_die\u0301te\u0301ticien_en_ligne-600x261.jpg 600w, https:\/\/www.hellocare.com\/blog\/wp-content\/uploads\/2019\/06\/consulter_un_die\u0301te\u0301ticien_en_ligne.jpg 768w, https:\/\/www.hellocare.com\/blog\/wp-content\/uploads\/2019\/06\/consulter_un_die\u0301te\u0301ticien_en_ligne-800x348.jpg 800w, https:\/\/www.hellocare.com\/blog\/wp-content\/uploads\/2019\/06\/consulter_un_die\u0301te\u0301ticien_en_ligne-1200x522.jpg 1200w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1000px) 100vw, 300px\" \/><\/a><\/span><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"<p>ans un pr\u00e9c\u00e9dent article nous vous expliquions comment reconna\u00eetre une intol\u00e9rance au gluten. Nous vous pr\u00e9sentons ici les<\/p>\n","protected":false},"author":28,"featured_media":24434,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[551],"tags":[],"class_list":["post-17426","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alimentation-nutrition"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.5 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>L&#039;intol\u00e9rance au gluten : diagnostics et traitements<\/title>\n<meta name=\"description\" content=\"L&#039;intol\u00e9rance au gluten touche un certain nombre de personnes. 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