A milligram of gluten a day keeps the mucosal recovery away: A case report

Federico Biagi; Jonia Campanella; Susi Martucci; Donatella Pezzimenti; Paul J. Ciclitira; Heather J. Ellis; Gino R. Corazza

doi:10.1301/nr.2004.sept.360-363

A milligram of gluten a day keeps the mucosal recovery away: A case report

Federico Biagi, Jonia Campanella, Susi Martucci, Donatella Pezzimenti, Paul J. Ciclitira, Heather J. Ellis, Gino R. Corazza

IRCCS Fondazione Policlinico San Matteo

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	360-363
Number of pages	4
Journal	Nutrition Reviews
Volume	62
Issue number	9
DOIs	https://doi.org/10.1301/nr.2004.sept.360-363
Publication status	Published - Sept 2004

Keywords

Celiac disease
Endomysial antibody
Gliadin
Gluten-free diet
Villous atrophy

ASJC Scopus subject areas

Medicine (miscellaneous)
Food Science

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10.1301/nr.2004.sept.360-363

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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.",

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AU - Biagi, Federico

AU - Campanella, Jonia

AU - Martucci, Susi

AU - Pezzimenti, Donatella

AU - Ciclitira, Paul J.

AU - Ellis, Heather J.

AU - Corazza, Gino R.

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AB - 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.

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KW - Endomysial antibody

KW - Gliadin

KW - Gluten-free diet

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A milligram of gluten a day keeps the mucosal recovery away: A case report

Abstract

Keywords

ASJC Scopus subject areas

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