Celiac Disease Clinical Trial
Official title:
Treatment of Mild Enteropathy Celiac Disease
The main purpose of this study is to evaluate the natural history of gluten sensitivity in endomysial antibody positive adults with celiac disease suspicion, who were found to have a only mild enteropathy (Marsh I-II) in the small-bowel mucosa. The investigators hypothesize that these subject are indeed gluten-sensitive, as measured by clinical, serological and histological indicators. If this would be the case, the current diagnostic criteria for celiac disease might need re-evaluation.
The current diagnostic criteria of celiac disease require small-bowel mucosal villous
atrophy with crypt hyperplasia (Marsh III). However, the mucosal damage develops gradually
and the patients may have clinical symptoms and endomysial antibodies before the development
of villous atrophy.
The main purpose of this study is to evaluate the natural history of gluten sensitivity in
endomysial antibody positive adults with celiac disease suspicion, who were found to have a
only mild enteropathy (Marsh I-II) in the small-bowel mucosa. We hypothesize that these
subject are indeed gluten-sensitive, as measured by clinical, serological and histological
indicators. If this would be the case, the current diagnostic criteria for celiac disease
might need re-evaluation.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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