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An infant presented with hypoproteinaemic oedema two months after an episode of salmonella enteritis. His oedema subsided spontaneously, but he failed to thrive and small bowel biopsy revealed partial villous atrophy of a severe degree. He was started on a gluten-free diet with a dramatic clinical response and this diet was continued for one year. He was then reinvestigated and small intestinal biopsy was then normal. He was then given a normal diet and a third biopsy performed 16 months later showed that the mucosa was still normal. It is suggested that a transient intolerance to gluten occurred in this patient as a sequel to enteritis, and that a clinical response to a gluten-free diet is not necessarily diagnostic of coeliac disease.
Hypoproteinemia, Diarrhea, Male, Time Factors, Glutens, Biopsy, Body Weight, Infant, Enteritis, Diet, Diagnosis, Differential, Celiac Disease, Malabsorption Syndromes, Metabolic Diseases, Child, Preschool, Intestine, Small, Humans, Diet Therapy
Hypoproteinemia, Diarrhea, Male, Time Factors, Glutens, Biopsy, Body Weight, Infant, Enteritis, Diet, Diagnosis, Differential, Celiac Disease, Malabsorption Syndromes, Metabolic Diseases, Child, Preschool, Intestine, Small, Humans, Diet Therapy
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 72 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 1% | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |