417 HISTOLOGIC CRITERIA FOR DIFFERENTIATION OF ACQUIRED MONOSACCHARIDE INTOLERANCE (AMI) AND GLUTEN SENSITIVE ENTEROPATHY (GSE)

Gluten intolerance, gluten enteropathy, and coeliac disease.

Gluten-sensitive enteropathy: Synthesis

The intestinal mucosa of patients with gluten-sensitive enteropathy responds to gluten challenge in vivo with a striking increase in IgA and IgM synthesis. Whether this increase in immunoglobulin synthesis is due in some part to the production of antigliadin antibodies is examined. Using an affinity chromatography technique it has been demonstrated that in six of seven patients with gluten-sens...

Criteria for diagnosis of temporary gluten intolerance.

Strict criteria for the diagnosis of temporary gluten intolerance are formulated in the light of the case of an 8-week-old infant with severe diarrhoea and failure to thrive, who recovered on an elimination diet that was gluten-free. 8 weeks later an oral challenge with 2.5 g twice daily of powdered gluten for one day produced diarrhoea, weight loss, and impaired xylose absorption. Gluten was s...

The broad spectrum of celiac disease and gluten sensitive enteropathy

The celiac disease is an immune chronic condition with genetic transmission, caused by the intolerance to gluten. Gluten is a protein from cereals containing the following soluble proteins: gliadine, which is the most toxic, and the prolamins. The average prevalence is about 1% in USA and Europe, but high in Africa: 5.6% in West Sahara. In the pathogenesis several factors are involved: gluten a...

Emergence of classic enteropathy after longstanding gluten sensitive oral ulceration.