首页|Non-responsive celiac disease may coincide with additional food intolerance/malabsorption, including histamine intolerance

Non-responsive celiac disease may coincide with additional food intolerance/malabsorption, including histamine intolerance

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Background and pilot study: Celiac disease (CD) or gluten malabsorption is a well-defined autoimmune disorder characterized by mucosal gastrointestinal reaction to ingested gluten proteins。 The necessary treatment for CD is a gluten-free diet。 However, up to 30% of celiac patients experience persistent or recurring abdominal complaints despite following an exact gluten-free diet。 This condition was named refractory, non-responsive celiac disease。 Other food ingredients, such as carbohydrates and biogenic amines, also influence and impair digestion, and may cause these abdominal symptoms。 In this retrospective pilot study, we have reported on 20 non-responsive, celiac disease patients, with persistent abdominal complaints, for longer than 6 months。 These patients were evaluated for extra food intolerance/malabsorption, including fructose malabsorption, histamine-, lactose intolerance, and Helicobacter pylori (H。p。) infection。

Celiac diseaseGluten sensitivityFructose malabsorptionHistamine intoleranceLactose intolerance

Schnedl, Wolfgang J.、Mangge, Harald、Schenk, Michael、Enko, Dietmar

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Gen Internal Med Practice, Dr Theodor Kornerstr 19b, A-8600 Bruck, Austria

Med Univ Graz, Clin Inst Med & Chem Lab Diag, Auenbruggerpl 30, A-8036 Graz, Austria

Das Kinderwunsch Inst Schenk GmbH, Sendergrund 11, A-8143 Dobl, Austria

2021

Medical hypotheses

Medical hypotheses

SCI
ISSN:0306-9877
年,卷(期):2021.146
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