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Transient gluten hypersensitivity.

G Iacono1, A Nocerino, S Guandalini

  • 1Ospedale dei Bambini G. Cristina, Palermo, Italy.

Journal of Pediatric Gastroenterology and Nutrition
|April 1, 1991
PubMed
Summary
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This study details a rare case of transient gluten hypersensitivity in a child. The condition resolved with a gluten-free diet and recurred upon gluten reintroduction, showing acute clinical and histological changes.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Immunology
  • Nutritional Science

Background:

  • Transient gluten hypersensitivity is a poorly understood condition.
  • Cow's milk protein intolerance serves as a potential model for similar transient hypersensitivities.

Observation:

  • A one-year-old patient exhibited symptoms consistent with gluten hypersensitivity.
  • Jejunal histology confirmed gluten hypersensitivity at diagnosis.
  • Clinical and histological parameters normalized after implementing a gluten-free diet.

Findings:

  • The patient experienced an acute relapse upon gluten challenge, confirmed by jejunal histology.
  • Depressed complement levels were noted alongside the acute reaction to gluten.
  • Subsequent provocation tests did not elicit similar reactions, suggesting transient sensitivity.

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Implications:

  • This case highlights the possibility of transient gluten hypersensitivity in pediatric populations.
  • Understanding such transient reactions is crucial for accurate diagnosis and management.
  • Further research into the mechanisms and duration of transient food hypersensitivities is warranted.