Compliance of adolescents with coeliac disease with a gluten free diet.

Abstract:

:A cohort of 123 patients with coeliac disease, diagnosed in the first three years of life and followed up for at least 10 years, was reevaluated during the teenage period in terms of compliance with the diet and clinical state. Mucosal structure and lymphocytes were assessed in small intestinal biopsy specimens obtained from 36 subjects, by computerised image analysis. Of these adolescents with coeliac disease, 65% were adhering to a strict gluten free diet, 11.4% were on a gluten free diet but with occasional gluten intake, and 23.6% were on a gluten containing diet. Clinical symptoms occurred more frequently in patients on a gluten containing diet, but not in patients on a semi-strict diet. Occasional intake of small amounts (0.06-2 g/day) of gluten did not produce increased concentrations of antigliadin antibodies but resulted in an appreciably increased crypt epithelial volume and expanded crypt intraepithelial lymphocyte population.

journal_name

Gut

journal_title

Gut

authors

Mayer M,Greco L,Troncone R,Auricchio S,Marsh MN

doi

10.1136/gut.32.8.881

subject

Has Abstract

pub_date

1991-08-01 00:00:00

pages

881-5

issue

8

eissn

0017-5749

issn

1468-3288

journal_volume

32

pub_type

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