Very late mucosal relapse in a girl with coeliac disease
作者:
L Högberg,
L Stenhammar,
J Wågermark,
期刊:
Acta Pædiatrica
(WILEY Available online 1993)
卷期:
Volume 82,
issue 11
页码: 887-889
ISSN:0803-5253
年代: 1993
DOI:10.1111/j.1651-2227.1993.tb12588.x
出版商: Blackwell Publishing Ltd
数据来源: WILEY
摘要:
Small bowel biopsy in a 4–year‐old girl with symptoms suggestive of coeliac disease revealed subtotal villous atrophy. The mucosa healed on a gluten‐free diet. From the age of 7 years, the girl was challenged with gluten. Annual biopsies showed normal or nearly normal mucosa specimens. At 21 years of age, after 14 years of gluten challenge, a mucosal relapse was found and a gluten‐free diet was reinstituted. A biopsy one year later showed a normal mucosa. From this case report it is apparent that a patient with a past history of subtotal villous atrophy, which after a preceding period of gluten‐free diet does not recur within two years of gluten challenge, must be followed carefully, so as not to miss a lat
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