RT Journal Article SR Electronic A1 Nichols, Emma Hitt T1 Challenges in the Diagnosis and Management of Celiac Disease JF MD Conference Express YR 2015 FD SAGE Publications VO 15 IS 14 SP 31 OP 32 DO 10.1177/1559897715593900 UL http://mdc.sagepub.com/content/15/14/31.abstract AB Awareness of celiac disease is rising, yet its diagnosis remains challenging, and many patients remain undiagnosed. In addition, many patients continue to experience symptoms despite adopting a gluten-free diet. Noncompliance, cross-contamination, and other conditions can cause symptoms to persist. Refractory disease is associated with lymphoma, which is associated with poor survival.