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- Title
A Milligram of Gluten a Day Keeps the Mucosal Recovery Away: A Case Report.
- Authors
Biagi, Federico; Campanella, Jonia; Martucci, Susi; Pezzimenti, Donatella; Ciclitira, Paul J.; Ellis, Heather J.; Corazza, Gino R.
- Abstract
In recent years it has been suggested that patients with celiac disease can be adequately followed up on the basis of merely clinical and serological response to a gluten-free diet. Thus, a duodenal biopsy some months after commencement of a gluten-free diet would no longer be necessary. We report here the case of a celiac patient in whom the ingestion of a milligram of gluten every day for 2 years prevented histological recovery in spite of satisfactory clinical and serological response. The literature regarding the minimal amount of gluten that could be harmless to celiac patients is reviewed.
- Subjects
CELIAC disease; DIGESTIVE system diseases; MALABSORPTION syndromes; GLUTEN-free diet; DIET therapy; DIETETICS; PHYSIOLOGICAL therapeutics
- Publication
Nutrition Reviews, 2004, Vol 62, Issue 9, p360
- ISSN
0029-6643
- Publication type
Article
- DOI
10.1111/j.1753-4887.2004.tb00062.x