Turkish Journal of Gastroenterology
Case Report

In extremis diagnosis of celiac disease and concomitant wheat allergy

1.

Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy

2.

Department of Clinical Medicine, Sapienza University, Rome, Italy

Turk J Gastroenterol 2018; 29: 515-517
DOI: 10.5152/tjg.2018.17889
Read: 303 Downloads: 142 Published: 25 July 2019

Abstract

 

Celiac disease (CD) and concomitant wheat allergy are not commonly described in the literature. Both can have almost the same treatment consisting of a gluten-free or wheat-free diet. On the other hand, they are based on totally different pathogenetic mechanisms and can be easily underdiagnosed, particularly CD.

We describe a peculiar case of a young female patient affected by wheat allergy whose serological and histological data were not diagnostic for CD. Organ culture system successfully detected specific antibodies for CD in duodenal biopsy supernatant, supporting the diagnosis of CD.

 

Cite this article as: Borghini R, Donato G, Marino M, Casale R, Di Tola M, Picarelli A. In extremis diagnosis of celiac disease and concomitant wheat allergy. Turk J Gastroenterol 2018; 29: 515-7.

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