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Expert Pearls

Celiac Disease - Candida albicans

Candida albicans colonization in the intestinal track may trigger celiac disease. An antifungal trial may be warranted, especially if a gluten-free diet fails to provide significant improvement. [The Lancet, June 21, 2003:361;2152-2154. 40655 (2003)] Summary Interview

Celiac Disease - Enzyme therapy

Enzyme therapy - animal extracts with broad specificity giving a range of peptidase activity and bacterially derived endopeptidases having narrower specificity targeting peptide fractions in gluten. [Scand J. Gastroenterology, Nov. 2005;40(11):1304-1312. 43996/44400 (5/2006)] Summary Interview

Celiac Disease - Gluten

Gluten introduction between 4-6 months of life in at risk children (HLA region of chromosome 6, relative with celiac disease or type I diabetes, or, children who have type 1 diabetes) have a 5 fold reduced risk compared to those with gluten introduction before 4 months. Children who were not fed gluten-containing cereals until after 6 months were at an increased risk of celiac disease autoimmunity compared with those introduced to gluten in the first 4-6 month of life. [JAMA, 2005 May 18;293(19):2343-51. 43145/45167 (2/2007)] Summary Interview

Celiac Disease - Gluten-free diet

Gluten-free diet reduces anxiety. [Scand J Gastroenterol, 2001 May;36(5):502-6. 31506, 38948, 42424/45722 (4/2007)] Summary Interview
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