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Title: A milligram of gluten a day keeps the mucosal recovery away: a case report. Author: Biagi F, Campanella J, Martucci S, Pezzimenti D, Ciclitira PJ, Ellis HJ, Corazza GR. Journal: Nutr Rev; 2004 Sep; 62(9):360-3. PubMed ID: 15497770. Abstract: In recent years it has been suggested that patients with celiac disease can be adequately followed up on the basis of merely clinical and serological response to a gluten-free diet. Thus, a duodenal biopsy some months after commencement of a gluten-free diet would no longer be necessary. We report here the case of a celiac patient in whom the ingestion of a milligram of gluten every day for 2 years prevented histological recovery in spite of satisfactory clinical and serological response. The literature regarding the minimal amount of gluten that could be harmless to celiac patients is reviewed.[Abstract] [Full Text] [Related] [New Search]