[When gluten-free diet does not cure celiac disease]. / Kun gluteeniton ruokavalio ei korjaa keliakiaa.
Duodecim
; 128(9): 945-51, 2012.
Article
em Fi
| MEDLINE
| ID: mdl-22667047
ABSTRACT
Dietary deviations and continuous usage of gluten even in small amounts are the most common causes of poor treatment response for celiac disease. In rare refractory celiac disease symptoms and small bowel mucosal morphological damage do not heal despite a strict diet. In such cases it is important to distinguish between type I and II refractory celiac disease by using small bowel lymphocyte markers and clonality of inflammatory cells. Increased risk of small intestinal lymphoma is especially associated with type II disease, which has a poorer prognosis. Type I is often treated with corticosteroids and azathioprine.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença Celíaca
/
Dieta Livre de Glúten
/
Neoplasias Intestinais
/
Intestino Delgado
/
Linfoma
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Fi
Ano de publicação:
2012
Tipo de documento:
Article