Non-Celiac Gluten Sensitivity and Autoimmunity. A Case Report.
  • Carlos Isasi
    Department of Rheumatology, Hospital Puerta de Hierro Majadahonda, Madrid
  • Isabel Colmenero
    Histopathology Department, Birmingham Children's Hospital, Birmingham
  • Fernando Casco
    Department of Pathology, Histiocitomed, Madrid
  • Eva Tejerina
    Department of Pathology, Hospital Puerta de Hierro Majadahonda, Madrid
  • Natalia Fernandez-Puga
    Department of Gastroenterology, Hospital Puerta de Hierro Majadahonda, Madrid

Keywords

Coeliac disease, gluten sensitivity, autoimmunity

Abstract

Introduction, objective: To present a case report in which the finding of non-coeliac gluten sensitivity was decisive for the treatment of a complex autoimmune disease.

Materials and methods: A 43-year-old woman with polyarthritis, psoriatic features, anti-SSA/Ro and anti-cyclic citrullinated peptide antibodies, with refractory course, was evaluated for gluten sensitivity despite negative serology for coeliac disease.

Results: The patient carried the HLA DQ2 haplotype and duodenal biopsy showed lymphocytic enteritis. A gluten-free diet resolved the clinical picture and permitted tapering of immunosuppressive therapy.

Conclusion: Non-coeliac gluten sensitivity can be associated with autoimmunity despite the absence of the specific autoantibodies of coeliac disease.

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References

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    Published: 2014-12-05
    Issue: Vol. 1 (2014) (view)


    How to cite:
    1.
    Isasi C, Colmenero I, Casco F, Tejerina E, Fernandez-Puga N. Non-Celiac Gluten Sensitivity and Autoimmunity. A Case Report. EJCRIM 2014;1 doi:10.12890/2014_000156.