People at Risk of Celiac Disease • Europeans, less common in Africans and Asians • Immediate family member with celiac disease • Emotional stress (in genetically predisposed individuals) • Pregnancy (in genetically predisposed individuals) • Surgery (in genetically predisposed individuals) • Autoimmune diseases e.g. diabetes type 1, thyroid disease • Congenital developmental disorder e.g. Turner syndrome, Down syndrome • Exposure to gluten before the age of 3