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By Peter Koehler, Herbert Wieser, Katharina Konitzer

ISBN-10: 0127999264

ISBN-13: 9780127999265

Celiac disorder and Gluten: Multidisciplinary demanding situations and possibilities is a different reference work-the first to combine the insights of the explanations and results of celiac ailment from the chemistry of reaction-causing meals to the analysis, pathogenesis, and signs that result in right diagnoses and therapy. With an envisioned 3 million humans within the usa by myself suffering from celiac disorder, an Read more...

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Sample text

CD has been associated with several hepatic disorders, such as modest hypertransaminasemia. In rare cases, untreated CD may even lead to fulminant hepatitis and liver failure [75]. Treatment with a gluten-free diet may prevent progression to hepatic dysfunction, even in cases in which liver transplantation is considered. Early studies showed contradictory results with regard to the co-occurrence of CD and psoriasis. However, a large study revealed the relationship between the two diseases to be unequivocally present [76].

Successful treatment of CD with a gluten-free diet leads to the elimination of antibodies from both the tissue and the blood after a prolonged time. 1). However, it should be kept in mind that the prevalence of seronegative CD has been shown to be in a range of 6–9% of diagnosed cases [108]. The intake of gliadin, a main trigger of CD, causes the production of IgA and IgG AGAs. Both IgG and IgA types were shown to be largely specific for the amino acid sequence QPFXXQXPY (in which X can be various amino acids) [109].

The diagnosis is made on the basis of strong evidence of CD supplemented with systematic exclusion of other causes of nonresponsiveness, such as trace gluten contamination of the gluten-free diet [130]. Tests for the detection of abnormal IELs in the intestine have facilitated the confirmation of RCD type II (see below). It is important to distinguish between true RCD patients and those who do not respond for other reasons [131]. True RCD carries a significant burden of morbidity and mortality, mainly from malnutrition and lymphoma.

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Celiac Disease and Gluten : Multidisciplinary Challenges and Opportunities by Peter Koehler, Herbert Wieser, Katharina Konitzer

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