Synonyms
Celiac disease; Dermatitis herpetiformis Duhring; Gluten sensitivity; Nontropical sprue
Definition of Gluten Intolerance
In general gluten sensitivity is mainly considered to be linked with celiac disease (CD).
Common denominator for all patients with celiac disease is the presence of a variable combination of the following:
Gluten-dependent clinical manifestations
Specific autoantibodies
HLA DQ2 and/or DQ8 haplotypes
Different degrees of enteropathy (Troncone and Jabri 2011)
However, reports of gluten sensitivity without celiac disease date to 1978, when a patient with normal small bowl biopsies and diarrhea was described which improved within days after starting a gluten-free diet (El-Chammas and Danner 2011). Marsh’s “modern” definition of gluten sensitivity describes “a state of heightened immunological responsiveness to ingested gluten in genetically-predisposed individuals,” with such responsiveness being expressed also in organs other than the gastrointestinal tract...
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Harries, C. (2014). Gluten Intolerance and Skin Diseases. In: Mackay, I.R., Rose, N.R., Ledford, D.K., Lockey, R.F. (eds) Encyclopedia of Medical Immunology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9194-1_466
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